Maternal Mortality in Henan Province, China Changes between 1996 and 2009 英文参考文献.docVIP

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Maternal Mortality in Henan Province, China Changes between 1996 and 2009 英文参考文献.doc

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Maternal Mortality in Henan Province, China Changes between 1996 and 2009 英文参考文献

MaternalMortalityinHenanProvince,China:Changes between1996and2009 FengzhiYou1,2,KaimingHuo3,RuiliWang4,DongmeiXu1,2,JieDeng1,2,YingWei1,2,FenglianShi1,2 HongyangLiu1,GuomeiCheng1,ZhanZhang1,PingYang1,2,TaoSun5,XiaoyangWang3,6, , BoJacobsson7,8,ChanglianZhu3,9 * 1Department of Women’s Healthcare, Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China, 2Department of Women’s Healthcare, Henan ProvincialWomen’sandChildren’sHospital,Zhengzhou,Henan,China,3DepartmentofPediatrics,ThirdAffiliatedHospitalofZhengzhouUniversity,Zhengzhou,China, 4People’sHospitalofZhengzhouUniversity,Zhengzhou,China,5Women’sandChildren’sHealthCareSection,HealthDepartmentofHenanProvince,Zhengzhou,China, 6PerinatalCenter,DepartmentofPhysiology,SahlgrenskaAcademy,UniversityofGothenburg,Gothenburg,Sweden,7PerinatalCenter,DepartmentofObstetricsand Gynecology,SahlgrenskaUniversityHospital/East,UniversityofGothenburg,Gothenburg,Sweden, 8NorwegianInstitute ofPublicHealth,Oslo,Norway,9Institute of NeuroscienceandPhysiology,SahlgrenskaAcademy,UniversityofGothenburg,Gothenburg,Sweden Abstract Background:Maternaldeathsoccurmostlyindevelopingcountriesandthemajorityofthemarepreventable.Thisstudy analyzeschangesinmaternalmortalityandrelatedcausesinHenanProvince,China,between1996and2009,inanattempt toprovideareliablebasisforintroducingeffectiveinterventionstoreducethematernalmortalityratio(MMR),partofthe fifthMillenniumDevelopmentGoal. MethodsandFindings:Thispopulation-basedmaternalmortalitysurveyinHenanProvincewascarriedoutfrom1996to 2009.Basicinformationwasobtainedfromthehealthcarenetworkforwomenandchildrenandthevitalstatisticssystem, from specially trained monitoring personnel in 25 selected monitoring sites and by household survey in each case of maternaldeath.ThisdatawassubsequentlyreportedtotheHenanProvincialMaternalandChildHealthcareHospital.The totalMMRinHenanProvincedeclinedby78.4%,from80.1per100000livebirthsin1996to17.3per100000livebirthsin 2009.Thedeclinewasmorepronounc