Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022
Bibliographic Data
| ID | 14968273 |
|---|---|
| Authors | German Josuet Lapo-Talledo (0000-0002-4525-7534, School of Medicine, Faculty of Health Sciences, Technical University of Manabí, Portoviejo, Ecuador, corresponding author) |
| Year | 2024 |
| Volume | 48 |
| Pages | 1 |
| Publication date | 2024-01-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Revista Panamericana de Salud Pública (JOURNAL) |
| Journal identifiers | ISSN: 1020-4989 • E-ISSN: 1680-5348 |
| Publisher | Pan American Health Organization (PUBLISHER • US) |
| DOI | 10.26633/rpsp.2024.5 |
| PMID | 38226151 |
| OpenAlex | W4390848039 |
| Language | EN |
| References cited | 15 |
Objective. This study aimed to analyze estimates of in-hospital delivery-related maternal mortality and sociodemographic factors influencing this mortality in Ecuador during 2015 to 2022. Methods. Data from publicly accessible registries from the Ecuadorian National Institute of Statistics and Censuses were analyzed. Maternal mortality ratios (MMRs) were calculated, and bivariate and multivariate logistic regression models were used to obtain unadjusted and adjusted odds ratios. Results. There was an increase in in-hospital delivery-related maternal deaths in Ecuador from 2015 to 2022: MMRs increased from 3.70 maternal deaths/100 000 live births in 2015 to 32.22 in 2020 and 18.94 in 2022. Manabí province had the highest rate, at 84.85 maternal deaths/100 000 live births between 2015 and 2022. Women from ethnic minorities had a higher probability of in-hospital delivery-related mortality, with an adjusted odds ratio (AOR) of 9.59 (95% confidence interval [95% CI]: 6.98 to 13.18). More maternal deaths were also observed in private health care facilities (AOR: 1.99, 95% CI: 1.4 to 2.84). Conclusions. Efforts to reduce maternal mortality have stagnated in recent years. During the COVID-19 pandemic in 2020, an increase in maternal deaths in hospital settings was observed in Ecuador. Although the pandemic might have contributed to the stagnation of maternal mortality estimates, socioeconomic, demographic and clinical factors play key roles in the complexity of trends in maternal mortality. The results from this study emphasize the importance of addressing not only the medical aspects of care but also the social determinants of health and disparities in the health care system
Confidence interval · Coronavirus disease 2019 (COVID-19 · Disease · Environmental health · Ethnic group · Logistic regression · Maternal death · Maternal health · Mortality rate · Obstetric transition · Odds · Odds ratio · Pandemic · Population · Socioeconomic status · Standardized mortality ratio · COVID-19 Impact on Reproduction · Demography · Global Maternal and Child Health · Maternal and fetal healthcare · Medicine
Effects of the Covid-19 pandemic on maternal and perinatal outcomes
Reducing Disparities in Severe Maternal Morbidity and Mortality
Disruptions in maternal health service use during the Covid-19 pandemic in 2020
The effectiveness of community-based interventions to improve maternal and infant health in the Northeast of Brazil
Rural–Urban Disparities in Adverse Maternal Outcomes in the United States, 2016–2019
| Citation velocity | historical |
|---|---|
| Highly cited | No |