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Why perinatal mortality cannot be a proxy for maternal mortality

M Z Akalin1, D Maine, A de Francisco

  • 1Prevention of Maternal Mortality Program, Center for Population and Family Health, Columbia University School of Public Health, USA.

Studies in Family Planning
|February 12, 1998
PubMed
Summary
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The perinatal mortality rate (PNMR) is not a reliable indicator of maternal mortality. Studies show these rates do not correlate, meaning PNMR monitoring can inaccurately reflect maternal health trends.

Area of Science:

  • Maternal and perinatal health research
  • Public health surveillance

Background:

  • The perinatal mortality rate (PNMR) has been suggested as a proxy for maternal mortality due to its higher frequency and potential for easier measurement.
  • This study investigates the validity of using PNMR as an indicator for maternal mortality trends.

Purpose of the Study:

  • To assess the statistical association between the perinatal mortality rate (PNMR) and the maternal mortality ratio (MMR).
  • To determine if PNMR can reliably indicate changes in MMR over time.

Main Methods:

  • Analysis of longitudinal data from Matlab, Bangladesh.
  • Statistical correlation analysis between PNMR and MMR.
  • Examination of the etiological factors contributing to both maternal and perinatal deaths.
Keywords:
AsiaBangladeshCauses Of DeathData AnalysisDemographic FactorsDeveloping CountriesEstimation TechnicsFetal DeathInfant MortalityMaternal MortalityMeasurementMortalityNeonatal MortalityPopulationPopulation CharacteristicsPopulation DynamicsReliabilityResearch MethodologyResearch ReportRetrospective StudiesRural PopulationSouthern AsiaStudies

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Main Results:

  • The study found no significant correlation between PNMR and MMR over time.
  • PNMR does not reliably reflect the magnitude or direction of changes in MMR.
  • Significant differences in the causes of maternal and perinatal deaths were observed, with limited overlap.

Conclusions:

  • The perinatal mortality rate (PNMR) is not a suitable proxy for maternal mortality.
  • Monitoring PNMR alone can provide a misleading picture of maternal mortality.
  • Maternal and perinatal mortality require separate and distinct monitoring strategies.