Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022
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 Censu...
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ftdoajarticles:oai:doaj.org/article:bd1a0d9855284ff4af76314d99fb9a1b 2024-02-11T10:01:38+01:00 Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022 German Josuet Lapo-Talledo 2024-01-01T00:00:00Z https://doi.org/10.26633/RPSP.2024.5 https://doaj.org/article/bd1a0d9855284ff4af76314d99fb9a1b EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/59159 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2024.5 https://doaj.org/article/bd1a0d9855284ff4af76314d99fb9a1b Revista Panamericana de Salud Pública, Vol 48, Iss 5, Pp 1-8 (2024) maternal mortality maternal death hospital mortality socioeconomic disparities in health covid-19 ecuador Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2024 ftdoajarticles https://doi.org/10.26633/RPSP.2024.5 2024-01-14T01:36:32Z 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 48 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English Spanish Portuguese |
topic |
maternal mortality maternal death hospital mortality socioeconomic disparities in health covid-19 ecuador Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
maternal mortality maternal death hospital mortality socioeconomic disparities in health covid-19 ecuador Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 German Josuet Lapo-Talledo Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022 |
topic_facet |
maternal mortality maternal death hospital mortality socioeconomic disparities in health covid-19 ecuador Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
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. |
format |
Article in Journal/Newspaper |
author |
German Josuet Lapo-Talledo |
author_facet |
German Josuet Lapo-Talledo |
author_sort |
German Josuet Lapo-Talledo |
title |
Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022 |
title_short |
Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022 |
title_full |
Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022 |
title_fullStr |
Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022 |
title_full_unstemmed |
Nationwide study of in-hospital maternal mortality in Ecuador, 2015–2022 |
title_sort |
nationwide study of in-hospital maternal mortality in ecuador, 2015–2022 |
publisher |
Pan American Health Organization |
publishDate |
2024 |
url |
https://doi.org/10.26633/RPSP.2024.5 https://doaj.org/article/bd1a0d9855284ff4af76314d99fb9a1b |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 48, Iss 5, Pp 1-8 (2024) |
op_relation |
https://iris.paho.org/handle/10665.2/59159 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2024.5 https://doaj.org/article/bd1a0d9855284ff4af76314d99fb9a1b |
op_doi |
https://doi.org/10.26633/RPSP.2024.5 |
container_title |
Revista Panamericana de Salud Pública |
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48 |
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1 |
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