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Research Article

An Autopsy Study of Maternal Mortality in Mozambique: The Contribution of Infectious Diseases

  • Clara Menéndez mail,

    To whom correspondence should be addressed. E-mail: menendez@clinic.ub.es

    Affiliations: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain, Centro de Investigaçao em Saude de Manhiça (CISM), Maputo, Mozambique

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  • Cleofé Romagosa,

    Affiliations: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain, Centro de Investigaçao em Saude de Manhiça (CISM), Maputo, Mozambique

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  • Mamudo R Ismail,

    Affiliation: Department of Pathology, Maputo Central Hospital, Maputo, Mozambique

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  • Carla Carrilho,

    Affiliation: Department of Pathology, Maputo Central Hospital, Maputo, Mozambique

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  • Francisco Saute,

    Affiliation: National Malaria Control Program, Ministry of Health, Mozambique

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  • Nafissa Osman,

    Affiliation: Department of Gynaecology, Maputo Central Hospital, Universidad Eduardo Mondlane, Maputo, Mozambique

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  • Fernanda Machungo,

    Affiliation: Department of Gynaecology, Maputo Central Hospital, Universidad Eduardo Mondlane, Maputo, Mozambique

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  • Azucena Bardaji,

    Affiliations: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain, Centro de Investigaçao em Saude de Manhiça (CISM), Maputo, Mozambique

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  • Llorenç Quintó,

    Affiliation: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain

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  • Alfredo Mayor,

    Affiliation: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain

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  • Denise Naniche,

    Affiliation: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain

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  • Carlota Dobaño,

    Affiliation: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain

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  • Pedro L Alonso,

    Affiliations: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain, Centro de Investigaçao em Saude de Manhiça (CISM), Maputo, Mozambique

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  • Jaume Ordi

    Affiliation: Barcelona Center for International Health Research (CRESIB) and Department of Pathology, Hospital Clinic, Institut d'Investigaçions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Spain

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  • Published: February 19, 2008
  • DOI: 10.1371/journal.pmed.0050044

Reader Comments (5)

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Stop press! Preventing infections saves lives

Posted by plosmedicine on 31 Mar 2009 at 00:20 GMT

Author: Elizabeth Pisani
Position: Epidemiologist
Institution: Independent consultant
E-mail: pisani@ternyata.org
Submitted Date: February 20, 2008
Published Date: February 22, 2008
This comment was originally posted as a “Reader Response” on the publication date indicated above. All Reader Responses are now available as comments.

Autopsy studies are always interesting, but they can lead to some pretty banal conclusions. In the paper, the authors essentially conclude that infectious diseases kill people, and that if we prevented and treated them, fewer people would die. The news that some of these deaths happen during or shortly after pregnancy is hardly earth-shattering.

What IS interesting is the implication that women who apparently have late-stage HIV disease are still becoming pregnant in significant numbers, despite the dampening effect that HIV has on fertility. If the goal is to reduce maternal mortality associated with HIV infection [ http://www.wisdomofwhores... ], one approach would be to increase access to quality contraceptive services for women with advanced HIV disease.

No competing interests declared.