![]() ![]() Core Indicators of the Health and Care of Pregnant Women and Babies in Europe in 2015. EURO-PERISTAT Project, European Perinatal Health Report.European Perinatal Health Report 2010 - Health and Care of Pregnant Women and Babies in Europe in 2010. EURO-PERISTAT Project with SCPE and EUROCAT.Lebendgeburten nach Alter der Mutter und Kanton 2015. Lebendgeburten nach Alter der Mutter 2018. Suizid nach Alter und Geschlecht (ohne assistierten Suizid) - 1995-2016 | Diagramm. Maternal mortality after cesarean section in the Netherlands. Kallianidis AF, Schutte JM, van Roosmalen J, van den Akker T Maternal Mortality and Severe Morbidity Audit Committee of the Netherlands Society of Obstetrics and Gynecology.Maternal mortality in Switzerland 1995-2004. Fässler M, Zimmermann R, QuackLötscher KC.Mütterliche Mortalität in der Schweiz 1985–1994. Meili G, Huch R, Huch A, Zimmermann R.Manila: WHO Regional Office for the Western Pacific 2016. Target 3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births. Sustainable development goals (SDGs): Goal 3. Global, regional, and national levels and trends in maternal mortality between 19, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. United Nations Maternal Mortality Estimation Inter-Agency Group collaborators and technical advisory group. Alkema L, Chou D, Hogan D, Zhang S, Moller A-B, Gemmill A, et al.Precise documentation of all maternal deaths is essential to improve outcomes for future mothers. Indirect maternal mortality is increasing and specifically suicides need special attention. Haemorrhage is still the leading cause of direct maternal mortality the rate is similar to what it was in the early 1990s. The trend of reducing direct maternal mortality as well as lethality after caesarean section continues. Lethality after caesarean section was 0.008‰ (2/231,385). Of 41 non-pregnancy-related cases, almost half (20 cases) died of cancer within the first year after delivery. The combined MMR (direct and indirect) was 6.61/100,000 live births (52 cases) (OR 4.8–8.4). Suicide was the leading cause of maternal deaths, had suicides been classified as direct obstetric cases. In this group, 13 women committed suicide and 8 women died of complications of pre-existing cardiac pathologies. The indirect MMR was 3.68/100,000 live births. ![]() ![]() The leading cause for direct maternal mortality in the current study period was haemorrhage (nine cases), followed by amniotic fluid embolisms and preeclampsia (five cases each). As 787,025 live births were recorded between 20 in Switzerland, the direct MMR was 3.30/100,000 live births (26 cases). Ninety-six cases were eligible for detailed evaluation. ![]() We received 117 cases from the FSO, and one additional case was found in the archives of the IRM. The direct maternal mortality rate (MMR), and indirect and combined MMRs were calculated. The cases were classified according to ICD-10 as “direct”, “indirect”, “non-pregnancy-related”, and “late” deaths. For an analysis of underreporting, cases from the Institute of Forensic Medicine (IRM), Zurich, were included. We also included cases where death occurred within 365 days after delivery. Additionally, we included all death certificates that gave a positive answer about pregnancy or birth within the last 42 days. The Federal Statistical Office (FSO) provided all death certificates between 20 with an ICD-10 code in the obstetric field (indicated with the letter O). In this study, we analysed maternal mortality cases between 20 in Switzerland and compared them with those in earlier periods. To improve clinical care, maternal mortality should be assessed periodically. Maternal mortality is an important indicator for quality control in obstetrics. ![]()
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