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The Effects of Maternal Mortality on Infant and Child Survival in Rural Tanzania: A Cohort Study.
Finlay, Jocelyn E; Moucheraud, Corrina; Goshev, Simo; Levira, Francis; Mrema, Sigilbert; Canning, David; Masanja, Honorati; Yamin, Alicia Ely.
Afiliação
  • Finlay JE; Harvard Center for Population and Development Studies, Harvard University, Cambridge, MA, USA. jfinlay@hsph.harvard.edu.
  • Moucheraud C; Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA.
  • Goshev S; Institute for Quantitative Social Science, Harvard University, Cambridge, MA, USA.
  • Levira F; Ifakara Health Institute, Ifakara, Tanzania.
  • Mrema S; Ifakara Health Institute, Ifakara, Tanzania.
  • Canning D; Harvard Center for Population and Development Studies, Harvard University, Cambridge, MA, USA.
  • Masanja H; Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA.
  • Yamin AE; Ifakara Health Institute, Ifakara, Tanzania.
Matern Child Health J ; 19(11): 2393-402, 2015 Nov.
Article em En | MEDLINE | ID: mdl-26100131
OBJECTIVES: The full impact of a maternal death includes consequences faced by orphaned children. This analysis adds evidence to a literature on the magnitude of the association between a woman's death during or shortly after childbirth, and survival outcomes for her children. METHODS: The Ifakara and Rufiji Health and Demographic Surveillance Sites in rural Tanzania conduct longitudinal, frequent data collection of key demographic events at the household level. Using a subset of the data from these sites (1996-2012), this survival analysis compared outcomes for children who experienced a maternal death (42 and 365 days definitions) during or near birth to those children whose mothers survived. RESULTS: There were 111 maternal deaths (or 229 late maternal deaths) during the study period, and 46.28 % of the index children also subsequently died (40.73 % of children in the late maternal death group) before their tenth birthday-a much higher prevalence of child mortality than in the population of children whose mothers survived (7.88 %, p value <0.001). Children orphaned by early maternal deaths had a 51.54 % chance of surviving to their first birthday, compared to a 94.42 % probability for children of surviving mothers. A significant, but lesser, child survival effect was also found for paternal deaths in this study period. CONCLUSIONS: The death of a mother compromises the survival of index children. Reducing maternal mortality through improved health care-especially provision of high-quality skilled birth attendance, emergency obstetric services and neonatal care-will also help save children's lives.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: População Rural / Mortalidade Infantil / Mortalidade Materna / Mortalidade da Criança / Morte Materna Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Child / Female / Humans / Infant / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Matern Child Health J Assunto da revista: PERINATOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: População Rural / Mortalidade Infantil / Mortalidade Materna / Mortalidade da Criança / Morte Materna Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Child / Female / Humans / Infant / Pregnancy País/Região como assunto: Africa Idioma: En Revista: Matern Child Health J Assunto da revista: PERINATOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos