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Reducing maternal mortality in China in the era of the two-child policy

Bibliographic Data

ID21881398
AuthorsJue Liu (0000-0002-1938-9365, Peking University), Li Song (0000-0002-3973-4787, National Health and Family Planning Commission), Jie Qiu (0000-0002-9680-135X, National Health and Family Planning Commission), Wenzhan Jing (0000-0003-1555-3954, Peking University), Liang Wang (0009-0009-7673-7272, National Health and Family Planning Commission), Yue Dai (0000-0001-6734-907X, National Health and Family Planning Commission), Geng Qin (0000-0003-4983-0059, National Health and Family Planning Commission, corresponding author), Min Liu (0000-0002-6622-5486, Peking University, corresponding author)
Year2020
Volume5
Issue2
Pagese002157
Publication date2020-02-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2019-002157
PMID32133196
OpenAlexW3007174678
LanguageEN
Citations received10
References cited11

Reducing maternal mortality ratio (MMR) is of great concern worldwide. After the implementation of the two-child policy in 2013, the number of live births and the proportion of high-risk pregnancies both increased, and these bring new challenges to the reduction of MMR. China implemented a package of nationwide strategies in April 2016, the Five Strategies for Maternal and Newborn Safety (FSMNS). The FSMNS consists of five components: (1) pregnancy risk screening and assessment strategy, (2) case-by-case management strategy for high-risk pregnancies, (3) referral and treatment strategy for critically ill pregnant women and newborns, (4) reporting strategy for maternal deaths (and 5) accountability strategy. To better implement the FSMNS, China formulated a unified pregnancy risk screening form. After risk assessment and classification, medical records of all the pregnant women are labelled with green (low risk), yellow (moderate risk), orange (high risk), red (highest risk) or purple (infectious disease) for tailored management. By the implementation of FSMNS, China has already kept the MMR stable and cause it to enter a controlled decline. MMR in China has declined by 21.1%, from 23.2 per 100 000 live births in 2013 to 18.3 per 100 000 live births in 2018. The country’s challenges and experience in reducing the MMR could provide useful lessons for other countries

Accountability · China · Environmental health · Family medicine · Geography · Live birth · Political science · Population · Pregnancy · Public health · Referral · Risk assessment · Standardized mortality ratio · Global Maternal and Child Health · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing · Pediatrics

  • Maternal and perinatal outcomes across China's one-child, two-child, and three-child policy periods

    Open Access•Haijuan Li, Dongmei Tang et al.•Journal of Global Health•2026

  • The Impact of Covid-19 on Maternal Mental Health during Pregnancy

    Open Access•Nicolas Pagès, Jessica Gorgui et al.•International Journal of…•2022

  • Maternal mortality ratio in China from 1990 to 2019

    Open Access•Lu Chen, Penghui Feng et al.•BMC Public Health•2021

  • Temporal trend and influencing factors of high-risk pregnancy in China

    Open Access•Zhenyan Bo, Kun Zou et al.•Frontiers in Public Health•2026

  • Trends, influencing factors and prediction analysis of under-five and maternal mortality rates in China from 1991 to 2020

    Open Access•Meng Zhang, Huimin Qu et al.•Frontiers in Public Health•2023

  • Prenatal care in urban China

    Open Access•Haruka Nagao•SSM - Qualitative Research in…•2024

  • Pregnant under quarantine

    Open Access•A Hanser, Yue Qian•SSM - Qualitative Research in…•2022

  • Reducing urban-rural disparities in maternal and child mortality in China

    Open Access•Zuyao Rao, Bei Liu et al.•Journal of Global Health•2026

  • Burden of multiple high-risk factors in pregnancy before and after the universal two-child policy in Chinese women

    Open Access•Yue Zhang, Weijie Ding et al.•Journal of Global Health•2024

  • The mediating role of inflammation-related indicators in the association of remnant cholesterol with gestational diabetes mellitus

    Open Access•Lihua Lin, Juan Lin et al.•Journal of Global Health•2025

  • Global, regional, and national levels of maternal mortality, 1990–2015

    Open Access•Nicholas J Kassebaum, Ryan M Barber et al.•The Lancet•2016

  • Risk perception of women during high risk pregnancy

    Suzanne Lee, Susan Ayers et al.•Health Risk & Society•2012

Citations per year2
Citation span2021 - 2026 (6)
Highly citedNo

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