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Risk factors for maternal death and trends in maternal mortality in low- and middle-income countries: a prospective longitudinal cohort analysis

Overview of attention for article published in Reproductive Health, June 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (75th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (54th percentile)

Mentioned by

twitter
6 tweeters

Citations

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62 Dimensions

Readers on

mendeley
344 Mendeley
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Title
Risk factors for maternal death and trends in maternal mortality in low- and middle-income countries: a prospective longitudinal cohort analysis
Published in
Reproductive Health, June 2015
DOI 10.1186/1742-4755-12-s2-s5
Pubmed ID
Authors

Melissa Bauserman, Adrien Lokangaka, Vanessa Thorsten, Antoinette Tshefu, Shivaprasad S Goudar, Fabian Esamai, Ana Garces, Sarah Saleem, Omrana Pasha, Archana Patel, Albert Manasyan, Mabel Berrueta, Bhala Kodkany, Elwyn Chomba, Edward A Liechty, K Michael Hambidge, Nancy F Krebs, Richard J Derman, Patricia L Hibberd, Fernando Althabe, Waldemar A Carlo, Marion Koso-Thomas, Robert L Goldenberg, Dennis D Wallace, Elizabeth M McClure, Carl L Bose

Abstract

Because large, prospective, population-based data sets describing maternal outcomes are typically not available in low- and middle-income countries, it is difficult to monitor maternal mortality rates over time and to identify factors associated with maternal mortality. Early identification of risk factors is essential to develop comprehensive intervention strategies preventing pregnancy-related complications. Our objective was to describe maternal mortality rates in a large, multi-country dataset and to determine maternal, pregnancy-related, delivery and postpartum characteristics that are associated with maternal mortality. We collected data describing all pregnancies from 2010 to 2013 among women enrolled in the multi-national Global Network for Women's and Children's Health Research Maternal and Neonatal Health Registry (MNHR). We reported the proportion of mothers who died per pregnancy and the maternal mortality ratio (MMR). Generalized linear models were used to evaluate the relationship of potential medical and social factors and maternal mortality and to develop point and interval estimates of relative risk associated with these factors. Generalized estimating equations were used to account for the correlation of outcomes within cluster to develop appropriate confidence intervals. We recorded 277,736 pregnancies and 402 maternal deaths for an MMR of 153/100,000 live births. We observed an improvement in the total MMR from 166 in 2010 to 126 in 2013. The MMR in Latin American sites (91) was lower than the MMR in Asian (178) and African sites (125). When adjusted for study site and the other variables, no formal education (RR 3.2 [1.5, 6.9]), primary education only (RR 3.4 [1.6, 7.5]), secondary education only (RR 2.5 [1.1, 5.7]), lack of antenatal care (RR 1.8 [1.2, 2.5]), caesarean section delivery (RR 1.9 [1.3, 2.8]), hemorrhage (RR 3.3 [2.2, 5.1]), and hypertensive disorders (RR 7.4 [5.2, 10.4]) were associated with higher risks of death. The MNHR identified preventable causes of maternal mortality in diverse settings in low- and middle-income countries. The MNHR can be used to monitor public health strategies and determine their association with reducing maternal mortality. clinicaltrials.gov NCT01073475.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 344 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ethiopia 1 <1%
Ghana 1 <1%
Unknown 342 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 69 20%
Student > Bachelor 44 13%
Student > Postgraduate 27 8%
Researcher 27 8%
Student > Doctoral Student 26 8%
Other 73 21%
Unknown 78 23%
Readers by discipline Count As %
Medicine and Dentistry 114 33%
Nursing and Health Professions 65 19%
Social Sciences 27 8%
Agricultural and Biological Sciences 7 2%
Economics, Econometrics and Finance 7 2%
Other 34 10%
Unknown 90 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 July 2015.
All research outputs
#3,054,327
of 12,440,542 outputs
Outputs from Reproductive Health
#377
of 784 outputs
Outputs of similar age
#58,158
of 234,001 outputs
Outputs of similar age from Reproductive Health
#5
of 11 outputs
Altmetric has tracked 12,440,542 research outputs across all sources so far. Compared to these this one has done well and is in the 75th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 784 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.5. This one has gotten more attention than average, scoring higher than 51% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 234,001 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 75% of its contemporaries.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.