Maternal Mortality: A Priority Issue In Reproductive Health
Notice bibliographique
Résumé
Maternal mortality is best defined as death of women during pregnancy or within 42 days of termination of pregnancy from a cause related to or aggravated by pregnancy or its management but not from accidental or incidental cause. Pregnancy is not a disease and pregnancy related morbidity and mortality are preventable. Despite that, more than half a million maternal deaths are reported worldwide each year, with vast majority of these deaths occurring in developing countries. 1 In Western hemisphere of world, maternal mortality ratio (MMR) remained disturbingly high form late nineteenth century till the mid 1930’s and then began to fall rapidly. A comparison of MMRs between 1870 and 1950 in certain European countries, especially Great Britain, Australia, New Zealand and the USA, suggests that between 1870 and 1935, it was usually considered safe to be delivered at home by a welltrained midwife rather than by a doctor in a hospital but it was no safer to be rich rather than poor. 2 Canadian regional MMRs were also persistently high until 1939, then showed a declining trend. 3 Advances in obstetrics have contributed in declining these trends but compositional influences were also important. Favourable changes in mother’s age-parity distributions contributed upto 24% drop in MMRs between 19391960 and 1965-1969. Due to their continued efforts, now MMR from developed world is reported from zero to a maximum of 13/100,000 live births (LB). 4 In developed countries, MMR is now a forgotten chapter in the medical history mainly due to their high socioeconomic conditions, better education and advanced obstetric care. While in developing countries, situation in this regard is vice versa. Research reports reveal that majority of maternal deaths are preventable and maternal health depends strongly upon quality of health care, and maternal mortality acts as a litmus test of women, of their access to health care and response of health care to their needs. South Asian developing countries Pakistan, India and Bangladesh have major share in maternal deaths worldwide. These countries account for about 28% of total births and 46% of maternal deaths in the world. Latest available data from India and Bangladesh show that MMRs in these countries have significantly declined during last few years. 5-7 In rural India, MMR upto 260/100,000 LB has been reported. 6
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».