{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:21:32Z","timestamp":1787242892835,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the causes of death for women who died during pregnancy and within the first 42\u2009days postpartum with those of women who died between &gt;42\u2009days and within 1 year postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Open population cohort (Health and Demographic Surveillance Systems).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Ten Health and Demographic Surveillance Systems (HDSS) in The Gambia, Kenya, Malawi, Tanzania, Ethiopia and South Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>2114 deaths which occurred within 1 year of the end of pregnancy where a verbal autopsy interview was conducted from 2000 to 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>InterVA5 and InSilicoVA verbal autopsy algorithms were used to attribute the most likely underlying cause of death, which were grouped according to adapted International Classification of Diseases\u2010Maternal Mortality categories. Multinomial regression was used to compare differences in causes of deaths within 42\u2009days versus 43\u2013365\u2009days postpartum adjusting for HDSS and time period (2000\u20132009 and 2010\u20132019).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Cause of death and the verbal autopsy Circumstances of Mortality Categories (COMCATs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2114 deaths, 1212 deaths occurred within 42\u2009days postpartum and 902 between 43 and 365\u2009days postpartum. Compared with deaths within 42\u2009days, deaths from HIV and TB, other infectious diseases, and non\u2010communicable diseases constituted a significantly larger proportion of late pregnancy\u2010related deaths beyond 42\u2009days postpartum, and health system failures were important in the circumstances of those deaths. The contribution of HIV and TB to deaths beyond 42\u2009days postpartum was greatest in Southern Africa. The causes of pregnancy\u2010related mortality within and beyond 42\u2009days postpartum did not change significantly between 2000\u20132009 and 2010\u20132019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cause of death data from the extended postpartum period are critical to inform prevention. The dominance of HIV and TB, other infectious and non\u2010communicable diseases to (late) pregnancy\u2010related mortality highlights the need for better integration of non\u2010obstetric care with ante\u2010, intra\u2010 and postpartum care in high\u2010burden settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17606","type":"journal-article","created":{"date-parts":[[2023,7,20]],"date-time":"2023-07-20T01:31:43Z","timestamp":1689816703000},"page":"163-174","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Pregnancy\u2010related mortality up to 1 year postpartum in sub\u2010Saharan Africa: an analysis of verbal autopsy data from six countries"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3309-7411","authenticated-orcid":false,"given":"Ursula","family":"Gazeley","sequence":"first","affiliation":[{"name":"Department of Infectious Disease Epidemiology London School of Hygiene and Tropical Medicine  London UK"},{"name":"Department of Population Health London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6582-1692","authenticated-orcid":false,"given":"Georges","family":"Reniers","sequence":"additional","affiliation":[{"name":"Department of Population Health London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8131-7821","authenticated-orcid":false,"given":"Julio E.","family":"Romero\u2010Prieto","sequence":"additional","affiliation":[{"name":"Department of Population Health London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3272-1040","authenticated-orcid":false,"given":"Clara","family":"Calvert","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology London School of Hygiene and Tropical Medicine  London UK"},{"name":"Usher Institute, University of Edinburgh  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1026-1082","authenticated-orcid":false,"given":"Momodou","family":"Jasseh","sequence":"additional","affiliation":[{"name":"Medical Research Council Unit The Gambia at LSHTM  Serekunda The Gambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5436-9386","authenticated-orcid":false,"given":"Kobus","family":"Herbst","sequence":"additional","affiliation":[{"name":"Africa Health Research Institute  Durban South Africa"},{"name":"DSI\u2010MRC South African Population Research Infrastructure Network (SAPRIN)  Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2470-1851","authenticated-orcid":false,"given":"Sammy","family":"Khagayi","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute \u2013 Centre for Global Health Research  Kisumu Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2852-6368","authenticated-orcid":false,"given":"David","family":"Obor","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute \u2013 Centre for Global Health Research  Kisumu Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0929-8072","authenticated-orcid":false,"given":"Daniel","family":"Kwaro","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute \u2013 Centre for Global Health Research  Kisumu 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