Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015

Kassebaum NJ, Barber RM, Bhutta ZA, Dandona L, Gething PW, Hay SI, Kinfu Y, Larson HJ, Liang X, Lim SS, Lopez AD, et al. (2016)
LANCET 388(10053): 1775-1812.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
OA 3.10 MB
Kassebaum, Nicholas J.; Barber, Ryan M.; Bhutta, Zulfiqar A.; Dandona, Lalit; Gething, Peter W.; Hay, Simon I.; Kinfu, Yohannes; Larson, Heidi J.; Liang, Xiaofeng; Lim, Stephen S.; Lopez, Alan D.; Lozano, Rafael
Abstract / Bemerkung
Background In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. Methods We estimated maternal mortality at the global, regional, and national levels from 1990 to 2015 for ages 10-54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories, 11 of which were analysed at the subnational level. We quantified eight underlying causes of maternal death and four timing categories, improving estimation methods since GBD 2013 for adult all-cause mortality, HIV-related maternal mortality, and late maternal death. Secondary analyses then allowed systematic examination of drivers of trends, including the relation between maternal mortality and coverage of specific reproductive health-care services as well as assessment of observed versus expected maternal mortality as a function of Socio-demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility. Findings Only ten countries achieved MDG 5, but 122 of 195 countries have already met SDG 3.1. Geographical disparities widened between 1990 and 2015 and, in 2015, 24 countries still had a maternal mortality ratio greater than 400. The proportion of all maternal deaths occurring in the bottom two SDI quintiles, where haemorrhage is the dominant cause of maternal death, increased from roughly 68% in 1990 to more than 80% in 2015. The middle SDI quintile improved the most from 1990 to 2015, but also has the most complicated causal profile. Maternal mortality in the highest SDI quintile is mostly due to other direct maternal disorders, indirect maternal disorders, and abortion, ectopic pregnancy, and/or miscarriage. Historical patterns suggest achievement of SDG 3.1 will require 91% coverage of one antenatal care visit, 78% of four antenatal care visits, 81% of in-facility delivery, and 87% of skilled birth attendance. Interpretation Several challenges to improving reproductive health lie ahead in the SDG era. Countries should establish or renew systems for collection and timely dissemination of health data; expand coverage and improve quality of family planning services, including access to contraception and safe abortion to address high adolescent fertility; invest in improving health system capacity, including coverage of routine reproductive health care and of more advanced obstetric care-including EmOC; adapt health systems and data collection systems to monitor and reverse the increase in indirect, other direct, and late maternal deaths, especially in high SDI locations; and examine their own performance with respect to their SDI level, using that information to formulate strategies to improve performance and ensure optimum reproductive health of their population.
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Kassebaum NJ, Barber RM, Bhutta ZA, et al. Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. LANCET. 2016;388(10053):1775-1812.
Kassebaum, N. J., Barber, R. M., Bhutta, Z. A., Dandona, L., Gething, P. W., Hay, S. I., Kinfu, Y., et al. (2016). Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. LANCET, 388(10053), 1775-1812. doi:10.1016/S0140-6736(16)31470-2
Kassebaum, Nicholas J., Barber, Ryan M., Bhutta, Zulfiqar A., Dandona, Lalit, Gething, Peter W., Hay, Simon I., Kinfu, Yohannes, et al. 2016. “Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015”. LANCET 388 (10053): 1775-1812.
Kassebaum, N. J., Barber, R. M., Bhutta, Z. A., Dandona, L., Gething, P. W., Hay, S. I., Kinfu, Y., Larson, H. J., Liang, X., Lim, S. S., et al. (2016). Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. LANCET 388, 1775-1812.
Kassebaum, N.J., et al., 2016. Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. LANCET, 388(10053), p 1775-1812.
N.J. Kassebaum, et al., “Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015”, LANCET, vol. 388, 2016, pp. 1775-1812.
Kassebaum, N.J., Barber, R.M., Bhutta, Z.A., Dandona, L., Gething, P.W., Hay, S.I., Kinfu, Y., Larson, H.J., Liang, X., Lim, S.S., Lopez, A.D., Lozano, R., Mensah, G.A., Mokdad, A.H., Naghavi, M., Pinho, C., Salomon, J.A., Steiner, C., Vos, T., Wang, H., Abajobir, A.A., Abate, K.H., Abbas, K.M., Abd-Allah, F., Abdallat, M.A., Abdulle, A.M., Abera, S.F., Aboyans, V., Abubakar, I., Abu-Rmeileh, N.M.E., Achoki, T., Adebiyi, A.O., Adedeji, I.A., Adelekan, A.L., Adou, A.K., Afanvi, K.A., Agarwal, A., Kiadaliri, A.A., Ajala, O.N., Akinyemiju, T.F., Akseer, N., Al-Aly, Z., Alam, K., Alam, N.K.M., Alasfoor, D., Aldhahri, S.F., Aldridge, R.W., Alhabib, S., Ali, R., Alkerwi, A.'a, Alla, F., Al-Raddadi, R., Alsharif, U., Martin, E.A., Alvis-Guzman, N., Amare, A.T., Amberbir, A., Amegah, A.K., Ammar, W., Amrock, S.M., Andersen, H.H., Anderson, G.M., Antoine, R.M., Antonio, C.A.T., Aregay, A.F., Arnlov, J., Arora, M., Arsenijevic, V.S.A., Al Artaman, A.A., Asayesh, H., Atique, S., Avokpaho, 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LANCET. 388, 1775-1812 (2016).
Kassebaum, Nicholas J., Barber, Ryan M., Bhutta, Zulfiqar A., Dandona, Lalit, Gething, Peter W., Hay, Simon I., Kinfu, Yohannes, Larson, Heidi J., Liang, Xiaofeng, Lim, Stephen S., Lopez, Alan D., Lozano, Rafael, Mensah, George A., Mokdad, Ali H., Naghavi, Mohsen, Pinho, Christine, Salomon, Joshua A., Steiner, Caitlyn, Vos, Theo, Wang, Haidong, Abajobir, Amanuel Alemu, Abate, Kalkidan Hassen, Abbas, Kaja M., Abd-Allah, Foad, Abdallat, Mahmud A., Abdulle, Abdishakur M., Abera, Semaw Ferede, Aboyans, Victor, Abubakar, Ibrahim, Abu-Rmeileh, Niveen M. E., Achoki, Tom, Adebiyi, Akindele Olupelumi, Adedeji, Isaac Akinkunmi, Adelekan, Ademola Lukman, Adou, Arsene Kouablan, Afanvi, Kossivi Agbelenko, Agarwal, Arnav, Kiadaliri, Aliasghar Ahmad, Ajala, Oluremi N., Akinyemiju, Tomi F., Akseer, Nadia, Al-Aly, Ziyad, Alam, Khurshid, Alam, Noore K. M., Alasfoor, Deena, Aldhahri, Saleh Fahed, Aldridge, Robert William, Alhabib, Samia, Ali, Raghib, Alkerwi, Ala'a, Alla, Francois, Al-Raddadi, Rajaa, Alsharif, Ubai, Martin, Elena Alvarez, Alvis-Guzman, Nelson, Amare, Azmeraw T., Amberbir, Alemayehu, Amegah, Adeladza Kofi, Ammar, Walid, Amrock, Stephen Marc, Andersen, Hjalte H., Anderson, Gregory M., Antoine, Rose Mayerline, Antonio, Carl Abelardo T., Aregay, Atsede Fantahun, Arnlov, Johan, Arora, Megha, Arsenijevic, Valentina S. Arsic, Al Artaman, Al Artaman, Asayesh, Hamid, Atique, Suleman, Avokpaho, Euripide Frinel G. Arthur, Awasthi, Ashish, Quintanilla, Beatriz Paulina Ayala, Azzopardi, Peter, Bacha, Umar, Badawi, Alaa, Bahit, Maria C., Balakrishnan, Kalpana, Banerjee, Amitava, Barac, Aleksandra, Barker-Collo, Suzanne L., Barnighausen, Till, Basu, Sanjay, Bayou, Tigist Assefa, Bayou, Yibeltal Tebekaw, Bazargan-Hejazi, Shahrzad, Beardsley, Justin, Bedi, NeerajHaidong Wang, Bekele, Tolesa, Bell, Michelle L., Bennett, Derrick A., Bensenor, Isabela M., Berhane, Adugnaw, Bernabe, Eduardo, Betsu, Balem Demtsu, Beyene, Addisu Shunu, Biadgilign, Sibhatu, Bikbov, Boris, Bin Abdulhak, Aref A., Biroscak, Brian J., Biryukov, Stan, Bisanzio, Donal, Bjertness, Espen, Blore, Jed D., Brainin, Michael, Brazinova, Alexandra, Breitborde, Nicholas J. K., Brugha, Traolach S., Butt, Zahid A., Campos-Nonato, Ismael Ricardo, Campuzano, Julio Cesar, Cardenas, Rosario, Carrero, Juan Jesus, Carter, Austin, Casey, Daniel C., Castaneda-Oquela, Carlos A., Castro, Ruben Estanislao, Catala-Lopez, Ferran, Cavalleri, Fiorella, Chang, Hsing-Yi, Chang, Jung -Chen, Chavan, Laxmikant, Chibueze, Chioma Ezinne, Chisumpa, Vesper Hichilombwe, Choi, Jee-Young Jasmine, Chowdhury, Rajiv, Christopher, Devasahayam Jesudas, Ciobanu, Liliana G., Cirillo, Massimo, Coates, Matthew M., Coggeshall, Megan, Colistro, Valentina, Colquhoun, Samantha M., Cooper, Cyrus, Cooper, Leslie Trumbull, Cortinovis, Monica, Dahiru, Tukur, Damasceno, Albertino, Danawi, Hadi, Dandona, Rakhi, Das Neves, Jose, De Leo, Diego, Dellavalle, Robert P., Deribe, Kebede, Deribew, Amare, Jarlais, Don C. 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Anil, Kutz, Michael J., Lal, Dharmesh Kumar, Lalloo, Ratilal, Lam, Hilton, Lamadrid-Figueroa, Hector, Lan, Qing, Larsson, Anders, Laryea, Dennis Odai, Leigh, James, Leung, Ricky, Li, Yichong, Li, Yongmei, Lipshultz, Steven E., Liu, Patrick Y., Liu, Shiwei, Liu, Yang, Lloyd, Belinda K., Lotufo, Paulo A., Lunevicius, Raimundas, Ma, Stefan, El Razek, Hassan Magdy Abd, El Razek, Mohammed Magdy Abd, Majdan, Marek, Majeed, Azeem, Malekzadeh, Reza, Mapoma, Chabila C., Marcenes, Wagner, Margolis, David Joel, Marquez, Neal, Masiye, Felix, Marzan, Melvin Barrientos, Mason-Jones, Amanda J., Mazorodze, Tasara T., Meaney, Peter A., Mehari, Alem, Mehndiratta, Man Mohan, Mena-Rodriguez, Fabiola, Mekonnen, Alemayehu B., Melaku, Yohannes Adama, Memish, Ziad A., Mendoza, Walter, Meretoja, Atte, Meretoja, Tuomo J., Mhimbira, Francis Apolinary, Miller, Ted R., Mills, Edward J., Mirarefin, Mojde, Misganaw, Awoke, Ibrahim, Norlinah Mohamed, Mohammad, Karzan Abdulmuhsin, Mohammadi, Alireza, Mohammed, Shafiu, Mola, Glen Liddell D., Monasta, Lorenzo, Monis, Jonathan De la Cruz, Hernandez, Julio Cesar Montanez, Montero, Pablo, Montico, Marcella, Mooney, Meghan D., Moore, Ami R., Moradi-Lakeh, Maziar, Morawska, Lidia, Mori, Rintaro, Mueller, Ulrich, Murthy, Gudlavalleti Venkata Satyanarayana, Murthy, Srinivas, Nachega, Jean B., Naheed, Aliya, Naldi, Luigi, Nand, Devina, Nangia, Vinay, Nash, Denis, Neupane, Subas, Newton, John N., Ng, Marie, Ngalesoni, Frida Namnyak, Nguhiu, Peter, Nguyen, Grant, Le Nguyen, Quyen, Nisar, Muhammad Imran, Nomura, Marika, Norheim, Ole F., Norman, Rosana E., Nyakarahuka, Luke, Obermeyer, Carla Makhlouf, Ogbo, Felix Akpojene, Oh, In-Hwan, Ojelabi, Foluke Adetola, Olivares, Pedro R., Olusanya, Bolajoko Olubukunola, Olusanya, Jacob Olusegun, Opio, John Nelson, Oren, Eyal, Ota, Erika, Oyekale, Abayomi Samuel, Pa, Mahesh, Pain, Amanda, Papantoniou, Nikolaos, Park, Eun-Kee, Park, Hye-Youn, Caicedo, Angel J. Paternina, Patten, Scott B., Paul, Vinod K., Pereira, David M., Perico, Norberto, Pesudovs, Konrad, Petzold, Max, Phillips, Michael Robert, Pillay, Julian David, Pishgar, Farhad, Polinder, Suzanne, Pope, Daniel, Pourmalek, Farshad, Qorbani, Mostafa, Rafay, Anwar, Rahimi, Kazem, Rahimi-Movaghar, Vafa, Rahman, Mahfuzar, Rahman, Mohammad Hifz Ur, Rahman, Sajjad Ur, Rai, Rajesh Kumar, Ram, Usha, Ranabhat, Chhabi Lal, Rangaswamy, Thara, Rao, Paturi Vishnupriya, Refaat, Amany H., and Remuzzi, Giuseppe. “Global, regional, and national levels of maternal mortality, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015”. LANCET 388.10053 (2016): 1775-1812.
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Demand-side financing in the form of baby packages in Northern Mozambique: Results from an observational study.
Makins A, Ehmer J, Piprek A, Mbofana F, Ross A, Hobbins MA., PLoS One 14(5), 2019
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Scaling Up Safer Birth Bundle Through Quality Improvement in Nepal (SUSTAIN)-a stepped wedge cluster randomized controlled trial in public hospitals.
Gurung R, Jha AK, Pyakurel S, Gurung A, Litorp H, Wrammert J, Jha BK, Paudel P, Rahman SM, Malla H, Sharma S, Gautam M, Linde JE, Moinuddin M, Ewald U, Målqvist M, Axelin A, Kc A., Implement Sci 14(1), 2019
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Bhattacharya AA, Allen E, Umar N, Usman AU, Felix H, Audu A, Schellenberg JR, Marchant T., J Glob Health 9(2), 2019
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Danger ahead: the burden of diseases, injuries, and risk factors in the Eastern Mediterranean Region, 1990-2015.
GBD 2015 Eastern Mediterranean Region Collaborators., Int J Public Health 63(suppl 1), 2018
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The burden of mental disorders in the Eastern Mediterranean region, 1990-2015: findings from the global burden of disease 2015 study.
GBD 2015 Eastern Mediterranean Region Mental Health Collaborators., Int J Public Health 63(suppl 1), 2018
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Maternal mortality and morbidity burden in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study.
GBD 2015 Eastern Mediterranean Region Maternal Mortality Collaborators., Int J Public Health 63(suppl 1), 2018
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Influence of socioeconomic factors on pregnancy outcome in women with structural heart disease.
van Hagen IM, Baart S, Fong Soe Khioe R, Sliwa-Hahnle K, Taha N, Lelonek M, Tavazzi L, Maggioni AP, Johnson MR, Maniadakis N, Fordham R, Hall R, Roos-Hesselink JW, ROPAC investigators., Heart 104(9), 2018
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Abouchadi S, Zhang WH, De Brouwere V., PLoS One 13(1), 2018
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Maternal death and delays in accessing emergency obstetric care in Mozambique.
Chavane LA, Bailey P, Loquiha O, Dgedge M, Aerts M, Temmerman M., BMC Pregnancy Childbirth 18(1), 2018
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Postpartum Tubal Sterilization: Making the Case for Urgency.
Richardson MG, Hall SJ, Zuckerwise LC., Anesth Analg 126(4), 2018
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Prospective cohort study comparing outcomes between vacuum extraction and second-stage cesarean delivery at a Ugandan tertiary referral hospital.
Nolens B, Namiiro F, Lule J, van den Akker T, van Roosmalen J, Byamugisha J., Int J Gynaecol Obstet 142(1), 2018
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Reference ranges of the WHO Disability Assessment Schedule (WHODAS 2.0) score and diagnostic validity of its 12-item version in identifying altered functioning in healthy postpartum women.
Mayrink J, Souza RT, Silveira C, Guida JP, Costa ML, Parpinelli MA, Pacagnella RC, Ferreira EC, Sousa MH, Say L, Chou D, Filippi V, Barreix M, Barbour K, von Dadelszen P, Cecatti JG, Brazilian Cohort on Severe Maternal Morbidity (COMMAG) study group and the WHO Maternal Morbidity Working Group (MMWG)., Int J Gynaecol Obstet 141 Suppl 1(), 2018
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Bromocriptine for the Treatment of Peripartum Cardiomyopathy.
Koenig T, Bauersachs J, Hilfiker-Kleiner D., Card Fail Rev 4(1), 2018
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A prospective cause of death classification system for maternal deaths in low and middle-income countries: results from the Global Network Maternal Newborn Health Registry.
Pasha O, McClure EM, Saleem S, Tikmani SS, Lokangaka A, Tshefu A, Bose CL, Bauserman M, Mwenechanya M, Chomba E, Carlo WA, Garces AL, Figueroa L, Hambidge KM, Krebs NF, Goudar S, Kodkany BS, Dhaded S, Derman RJ, Patel A, Hibberd PL, Esamai F, Tenge C, Liechty EA, Moore JL, Wallace DD, Koso-Thomas M, Miodovnik M, Goldenberg RL., BJOG 125(9), 2018
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Mulenga T, Moono M, Mwendafilumba M, Manasyan A, Sharma A., BMC Pregnancy Childbirth 18(1), 2018
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Ravit M, Audibert M, Ridde V, De Loenzien M, Schantz C, Dumont A., Int J Equity Health 17(1), 2018
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Nicol-Harper A, Dooley C, Packman D, Mueller M, Bijak J, Hodgson D, Townley S, Ezard T., Popul Ecol 60(1), 2018
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Lundberg GP, Mehta LS, Volgman AS., Curr Treat Options Cardiovasc Med 20(9), 2018
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Labour & delivery monitoring patterns in facility births across five districts of India: A cross-sectional observational study.
Singh S, Kashyap JA, Chandhiok N, Kumar V, Singh V, Goel R, for an ICMR-UNFPA Task Force study on reducing maternal mortality and morbidity through promotion of evidence based intrapartum and early postpartum care*., Indian J Med Res 148(3), 2018
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Contaminants in Grain-A Major Risk for Whole Grain Safety?
Thielecke F, Nugent AP., Nutrients 10(9), 2018
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Global Surgery: Effective Involvement of US Academic Surgery: Report of the American Surgical Association Working Group on Global Surgery.
Mock C, Debas H, Balch CM, Brennan M, Buyske J, Cusack J, DeMeester S, Herndon D, Le Holterman AX, Jaffe B, Kandil E, Kauffman G, Mazariegos G, sMerchant N, Numann P, Oleynikov D, Olutoye O, O'Neill J, Shackford S, Stock P, Tarpley JL, Tuttle T, Wolf S, Wren SM, Yang GP., Ann Surg 268(4), 2018
PMID: 30004921
Improving quality of care during childbirth in primary health centres: a stepped-wedge cluster-randomised trial in India.
Agarwal R, Chawla D, Sharma M, Nagaranjan S, Dalpath SK, Gupta R, Kumar S, Chaudhuri S, Mohanty P, Sankar MJ, Agarwal K, Rani S, Thukral A, Jain S, Yadav CP, Gathwala G, Kumar P, Sarin J, Sreenivas V, Aggarwal KC, Kumar Y, Kharya P, Bisht SS, Shridhar G, Arora R, Joshi K, Bhalla K, Soni A, Singh S, Devakirubai P, Samuel R, Yadav R, Bahl R, Kumar V, Paul VK, QI Haryana Study Collaboration ., BMJ Glob Health 3(5), 2018
PMID: 30364301
Maternal mortality in Spain and its association with country of origin: cross-sectional study during the period 1999-2015.
Blagoeva Atanasova V, Arevalo-Serrano J, Antolin Alvarado E, García-Tizón Larroca S., BMC Public Health 18(1), 2018
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Safe Motherhood Initiative: Early Impact of Severe Hypertension in Pregnancy Bundle Implementation.
Simpson LL, Rochelson B, Ananth CV, Bernstein PS, D'Alton M, Chazotte C, Lavery JA, Zielinski K, Safe Motherhood Initiative Severe Hypertension in Pregnancy Work Group ., AJP Rep 8(4), 2018
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Levels of Maternal Care Verification Pilot: Translating Guidance Into Practice.
Zahn CM, Remick A, Catalano A, Goodman D, Kilpatrick SJ, Menard MK., Obstet Gynecol 132(6), 2018
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Infant and Youth Mortality Trends by Race/Ethnicity and Cause of Death in the United States.
Khan SQ, Berrington de Gonzalez A, Best AF, Chen Y, Haozous EA, Rodriquez EJ, Spillane S, Thomas DA, Withrow D, Freedman ND, Shiels MS., JAMA Pediatr 172(12), 2018
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Expanding GBD collaboration-call for experts in health financing and health systems.
Murray CJL, Lim SS, Dieleman JL., Lancet 389(10064), 2017
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The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013.
Charara R, Forouzanfar M, Naghavi M, Moradi-Lakeh M, Afshin A, Vos T, Daoud F, Wang H, El Bcheraoui C, Khalil I, Hamadeh RR, Khosravi A, Rahimi-Movaghar V, Khader Y, Al-Hamad N, Makhlouf Obermeyer C, Rafay A, Asghar R, Rana SM, Shaheen A, Abu-Rmeileh NM, Husseini A, Abu-Raddad LJ, Khoja T, Al Rayess ZA, AlBuhairan FS, Hsairi M, Alomari MA, Ali R, Roshandel G, Terkawi AS, Hamidi S, Refaat AH, Westerman R, Kiadaliri AA, Akanda AS, Ali SD, Bacha U, Badawi A, Bazargan-Hejazi S, Faghmous IA, Fereshtehnejad SM, Fischer F, Jonas JB, Kuate Defo B, Mehari A, Omer SB, Pourmalek F, Uthman OA, Mokdad AA, Maalouf FT, Abd-Allah F, Akseer N, Arya D, Borschmann R, Brazinova A, Brugha TS, Catalá-López F, Degenhardt L, Ferrari A, Haro JM, Horino M, Hornberger JC, Huang H, Kieling C, Kim D, Kim Y, Knudsen AK, Mitchell PB, Patton G, Sagar R, Satpathy M, Savuon K, Seedat S, Shiue I, Skogen JC, Stein DJ, Tabb KM, Whiteford HA, Yip P, Yonemoto N, Murray CJ, Mokdad AH., PLoS One 12(1), 2017
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Strategies to reduce the global burden of direct maternal deaths.
von Dadelszen P, Magee LA., Obstet Med 10(1), 2017
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Reduction of severe maternal morbidity from hemorrhage using a state perinatal quality collaborative.
Main EK, Cape V, Abreo A, Vasher J, Woods A, Carpenter A, Gould JB., Am J Obstet Gynecol 216(3), 2017
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Tessema GA, Laurence CO, Melaku YA, Misganaw A, Woldie SA, Hiruye A, Amare AT, Lakew Y, Zeleke BM, Deribew A., BMC Public Health 17(1), 2017
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Maternal mortality and the role of the obstetric anesthesiologist.
Abir G, Mhyre J., Best Pract Res Clin Anaesthesiol 31(1), 2017
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Setting maternal mortality targets for the SDGs.
Boldosser-Boesch A, Brun M, Carvajal L, Chou D, de Bernis L, Fogg K, Hill K, Jolivet R, McCallon B, Moran A, Say L, Smith J, Stanton ME, Ten Hoope-Bender P, Wegner MN, Ending Preventable Maternal Mortality working group., Lancet 389(10070), 2017
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Kassebaum NJ, Lozano R, Lim SS, Murray CJ., Lancet 389(10070), 2017
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Lay beliefs about hypertension among HIV-infected adults in Kenya.
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Bartlett L, LeFevre A, Zimmerman L, Saeedzai SA, Turkmani S, Zabih W, Tappis H, Becker S, Winch P, Koblinsky M, Rahmanzai AJ., Lancet Glob Health 5(5), 2017
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Maternal near-misses at a provincial hospital in Papua New Guinea: A prospective observational study.
Bolnga JW, Morris M, Totona C, Laman M., Aust N Z J Obstet Gynaecol 57(6), 2017
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Predictive factors of maternal hypothermia during Cesarean delivery: a prospective cohort study.
Desgranges FP, Bapteste L, Riffard C, Pop M, Cogniat B, Gagey AC, Boucher P, Bonnard C, Paturel B, Mullet C, Chassard D, Bouvet L., Can J Anaesth 64(9), 2017
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Disparity in access and outcomes for emergency neonatal surgery: intestinal atresia in Kampala, Uganda.
Cairo S, Kakembo N, Kisa P, Muzira A, Cheung M, Healy J, Ozgediz D, Sekabira J., Pediatr Surg Int 33(8), 2017
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Long-Term Health Impact of Early Nutrition: The Power of Programming.
Koletzko B, Brands B, Grote V, Kirchberg FF, Prell C, Rzehak P, Uhl O, Weber M, Early Nutrition Programming Project., Ann Nutr Metab 70(3), 2017
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The Effects of an Integrated Community Case Management Strategy on the Appropriate Treatment of Children and Child Mortality in Kono District, Sierra Leone: A Program Evaluation.
Ratnayake R, Ratto J, Hardy C, Blanton C, Miller L, Choi M, Kpaleyea J, Momoh P, Barbera Y., Am J Trop Med Hyg 97(3), 2017
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The WHO global reference list of 100 core health indicators: the example of Sierra Leone.
Kaiser R, Johnson N, Jalloh MF, Dafae F, Redd JT, Hersey S, Jambai A., Pan Afr Med J 27(), 2017
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Institutional maternal and perinatal deaths: a review of 40 low and middle income countries.
Bailey PE, Andualem W, Brun M, Freedman L, Gbangbade S, Kante M, Keyes E, Libamba E, Moran AC, Mouniri H, El Joud DO, Singh K., BMC Pregnancy Childbirth 17(1), 2017
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The United States is failing its mothers.
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Pulmonary Hypertension and Pregnancy Outcomes: Insights From the National Inpatient Sample.
Thomas E, Yang J, Xu J, Lima FV, Stergiopoulos K., J Am Heart Assoc 6(10), 2017
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Cause-specific mortality for 249 causes in Brazil and states during 1990-2015: a systematic analysis for the global burden of disease study 2015.
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Pregnancy complications and outcomes among overweight and obese nulliparous women.
Baeten JM, Bukusi EA, Lambe M., Am J Public Health 91(3), 2001
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Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London.
Sebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, Regan L, Robinson S., Int. J. Obes. Relat. Metab. Disord. 25(8), 2001
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Availability and distribution of emergency obstetric care services in Karnataka State, South India: access and equity considerations.
Mony PK, Krishnamurthy J, Thomas A, Sankar K, Ramesh BM, Moses S, Blanchard J, Avery L., PLoS ONE 8(5), 2013
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Implementing a maternal mortality surveillance system in Morocco - challenges and opportunities.
Abouchadi S, Belghiti Alaoui A, Meski FZ, De Brouwere V., Trop. Med. Int. Health 18(3), 2013
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Birth Data

Ruppert D, Matteson DS., 2015

Innovations and challenges in reducing maternal mortality in Tamil Nadu, India.
Padmanaban P, Raman PS, Mavalankar DV., J Health Popul Nutr 27(2), 2009
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Financing Global Health 2014: Shifts in Funding as the MDG EraCloses
Dieleman J, Murray CML, Haakenstad A., 0
Maternal health in Gujarat, India: a case study.
Mavalankar DV, Vora KS, Ramani KV, Raman P, Sharma B, Upadhyaya M., J Health Popul Nutr 27(2), 2009
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India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation.
Lim SS, Dandona L, Hoisington JA, James SL, Hogan MC, Gakidou E., Lancet 375(9730), 2010
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Impact of Conditional Cash Transfers on Maternal and Newborn Health.
Glassman A, Duran D, Fleisher L, Singer D, Sturke R, Angeles G, Charles J, Emrey B, Gleason J, Mwebsa W, Saldana K, Yarrow K, Koblinsky M., J Health Popul Nutr 31(4 Suppl 2), 2013
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Cardiology patient page: peripartum cardiomyopathy.
Givertz MM., Circulation 127(20), 2013
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Postpartum venous thromboembolism: incidence and risk factors.
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How can we achieve and maintain high-quality performance of health workers in low-resource settings?
Rowe AK, de Savigny D, Lanata CF, Victora CG., Lancet 366(9490), 2005
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Strategies for reducing maternal mortality: getting on with what works.
Campbell OM, Graham WJ; Lancet Maternal Survival Series steering group., Lancet 368(9543), 2006
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Maternal deaths averted by contraceptive use: an analysis of 172 countries.
Ahmed S, Li Q, Liu L, Tsui AO., Lancet 380(9837), 2012
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Guidelines-based indicators to measure quality of antenatal care.
Bollini P, Quack-Lotscher K., J Eval Clin Pract 19(6), 2013
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What works? Interventions for maternal and child undernutrition and survival.
Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, Haider BA, Kirkwood B, Morris SS, Sachdev HP, Shekar M; Maternal and Child Undernutrition Study Group., Lancet 371(9610), 2008
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Obstetric care in low-resource settings: what, who, and how to overcome challenges to scale up?
Hofmeyr GJ, Haws RA, Bergstrom S, Lee AC, Okong P, Darmstadt GL, Mullany LC, Oo EK, Lawn JE., Int J Gynaecol Obstet 107 Suppl 1(), 2009
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Pregnancy-related mortality in the United States, 2006-2010.
Creanga AA, Berg CJ, Syverson C, Seed K, Bruce FC, Callaghan WM., Obstet Gynecol 125(1), 2015
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Mortality in HIV-1-seropositive women, their spouses and theirnewly born children during 36 months of follow-up in Kinshasa,Zaïre
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Mortality and morbidity among postpartum HIV-positive andHIV-negative women in Zimbabwe: risk factors, causes, and impact ofsingle-dose postpartum vitamin A supplementation
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Maternal mortality: only 42 days?
Hoj L, da Silva D, Hedegaard K, Sandstrom A, Aaby P., BJOG 110(11), 2003
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Maternal mortality in Denmark, 1985-1994.
Andersen BR, Westergaard HB, Bodker B, Weber T, Moller M, Sorensen JL., Eur. J. Obstet. Gynecol. Reprod. Biol. 142(2), 2008
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A Bayesian approach to the global estimation of maternalmortality
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A comparison of maternal mortality estimates from GBD 2013 and WHO.
Kassebaum NJ, Lopez AD, Murray CJ, Lozano R., Lancet 384(9961), 2014
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Maternal mortality estimates–authors’reply
Kassebaum NJ, Wang H, Lopez AD, Murray CJL, Lozano R., 2014
Maternal mortality due to pandemic influenza A H1N1 2009 virus in Colombia.
Rojas-Suarez J, Paternina-Caicedo A, Cuevas L, Angulo S, Cifuentes R, Parra E, Fino E, Daza J, Castillo O, Pacheco A, Rey G, Garcia S, Pena I, Levinson A, Bourjeily G., J Perinat Med 42(1), 2014
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Maternal deaths associated with H1N1 influenza virus infection in Turkey: a whole-of-population report.
Dede FS, Celen S, Bilgin S, Ure G, Ozcan AO, Buzgan T, Kose R., BJOG 118(10), 2011
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The influence of the war on perinatal and maternal mortality in Bosnia and Herzegovina.
Fatusic Z, Kurjak A, Grgic G, Tulumovic A., J. Matern. Fetal. Neonatal. Med. 18(4), 2005
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Providing free maternal health care: ten lessons from an evaluation of the national delivery exemption policy in Ghana.
Witter S, Adjei S, Armar-Klemesu M, Graham W., Glob Health Action 2(), 2009
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Improved access to comprehensive emergency obstetric care and its effect on institutional maternal mortality in rural Mali.
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Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement.
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