{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T17:50:24Z","timestamp":1759341024770},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":213,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective.<\/jats:italic> To trace all maternal deaths at a tertiary East African university hospital with a systematic registration of all births. <jats:italic>Design.<\/jats:italic> Descriptive study. <jats:italic>Sample.<\/jats:italic> One hundred and nineteen cases of maternal death which occurred in the period from 2000 to 2007 (including). <jats:italic>Methods.<\/jats:italic> Identification through the birth registry and separate manual tracing of all case records. Account of practical problems concerning identification of cases and analysis of time trends, mothers' domicile, occurrence by phase of pregnancy, birth and puerperium, and diagnoses. <jats:italic>Results.<\/jats:italic> There was considerable under\u2010reporting of deaths in the medical birth registry. Twenty of 119 mothers died before 23 weeks' gestational age, most of them of unsafe abortion. Other prevalent direct causes of death were hemorrhage, eclampsia and other hypertensive complications. HIV\/AIDS was primary cause in 20 cases. <jats:italic>Conclusion.<\/jats:italic> Even with relatively complete ascertainment of births, single hospital\u2010based medical birth registries have limitations in studies of maternal deaths. They may identify risks among women who arrive for delivery at the hospital, but are not well suited for estimation of total maternal mortality within the hospital walls. This would require additional data. Extending the birth registry monitoring system to all health institutions with obstetrical services in a region will give more reliable estimates to be followed over time and serve as a basis for regular auditing, to the benefit of mothers and their children.<\/jats:p>","DOI":"10.3109\/00016341003801664","type":"journal-article","created":{"date-parts":[[2010,4,16]],"date-time":"2010-04-16T12:41:37Z","timestamp":1271421697000},"page":"789-793","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Recording of maternal deaths in an East African university hospital"],"prefix":"10.1111","volume":"89","author":[{"given":"PER","family":"BERGSJ\u00d8","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SIRI","family":"VANGEN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ROLV TERJE","family":"LIE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ROWLAND","family":"LYATUU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ERIK","family":"LIE\u2010NIELSEN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OLOLA","family":"ONEKO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"World Health Organization. ICD 10. International Statistical Classification of Diseases and Related Health Problems. Tenth Revision Volume 1. Geneva 1992."},{"key":"e_1_2_6_3_2","volume-title":"Maternal Mortality in 2000. Estimates developed by WHO, UNICEF and UNFPA","author":"World Health Organization","year":"2004"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11622.x"},{"key":"e_1_2_6_5_2","first-page":"34","volume-title":"Instructions manual for registration of deliveries at the KCMC Birth Registry","author":"Bergsj\u00f8 P","year":"2005"},{"key":"e_1_2_6_6_2","unstructured":"Available online at:http:\/\/www.tanzania.go.tz\/census\/districts\/kigomarural.htm."},{"key":"e_1_2_6_7_2","unstructured":"MolandKM.Giving birth in Kilimanjaro. The politics of knowledge in moral contexts. Doctoral thesis. Bergen:Department of Administration and Organisation Theory and Centre for International Health University of Bergen 2002:280pages. ISBN 82\u20107815\u201008\u20105."},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/10.1.71"},{"key":"e_1_2_6_9_2","unstructured":"OlsenBE HinderakerSG Bergsj\u00f8P LieRT OlsenOH GashekaP et alCauses and characteristics of maternal deaths in rural northern Tanzania. Paper III in: Olsen BE. Motherhood \u2013 a hazardous endeavour. Doctoral thesis. Bergen:University of Bergen Norway Centre for International Health 2002. ISBN 82\u20107815\u2010073\u20107."},{"key":"e_1_2_6_10_2","volume-title":"National AIDS Control Programme. HIV\/AIDS Surveillance Report January\u2013December 2002. Report Number 17","author":"The United Republic of Tanzania","year":"2003"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01672.x"},{"key":"e_1_2_6_12_2","unstructured":"MbarukuG van RoosmalenJ KamugishaC NturugelewaE Bergstr\u00f6mS.Perceptions of obstetric risk among health staff traditional birth attendants and community members in rural Tanzania. Paper III in: Mbaruku G. Enhancing survival of mothers and their newborns in Tanzania. Doctoral thesis. Stockholm:Karolinska University Press 2005. ISBN 91\u20107140\u2010355\u20108."}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F00016341003801664","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/00016341003801664","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T17:47:10Z","timestamp":1697392030000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.3109\/00016341003801664"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.3109\/00016341003801664"],"URL":"https:\/\/doi.org\/10.3109\/00016341003801664","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6]]},"assertion":[{"value":"2010-12-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}