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Confidential enquiry into maternal deaths in the Netherlands, 2006–2018

INTRODUCTION: To calculate the maternal mortality ratio (MMR) for 2006–2018 in the Netherlands and compare this with 1993–2005, and to describe women’s characteristics, causes of death and improvable factors. MATERIAL AND METHODS: We performed a nationwide, cohort study of all maternal deaths betwee...

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Autores principales: Kallianidis, Athanasios F., Schutte, Joke M., Schuringa, Louise E. M., Beenakkers, Ingrid C. M., Bloemenkamp, Kitty W. M., Braams‐Lisman, Babette A. M., Cornette, Jerome, Kuppens, Simone M., Rietveld, Anna L., Schaap, Timme, Stekelenburg, Jelle, Zwart, Joost J., van den Akker, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564602/
https://www.ncbi.nlm.nih.gov/pubmed/35352820
http://dx.doi.org/10.1111/aogs.14312
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author Kallianidis, Athanasios F.
Schutte, Joke M.
Schuringa, Louise E. M.
Beenakkers, Ingrid C. M.
Bloemenkamp, Kitty W. M.
Braams‐Lisman, Babette A. M.
Cornette, Jerome
Kuppens, Simone M.
Rietveld, Anna L.
Schaap, Timme
Stekelenburg, Jelle
Zwart, Joost J.
van den Akker, Thomas
author_facet Kallianidis, Athanasios F.
Schutte, Joke M.
Schuringa, Louise E. M.
Beenakkers, Ingrid C. M.
Bloemenkamp, Kitty W. M.
Braams‐Lisman, Babette A. M.
Cornette, Jerome
Kuppens, Simone M.
Rietveld, Anna L.
Schaap, Timme
Stekelenburg, Jelle
Zwart, Joost J.
van den Akker, Thomas
author_sort Kallianidis, Athanasios F.
collection PubMed
description INTRODUCTION: To calculate the maternal mortality ratio (MMR) for 2006–2018 in the Netherlands and compare this with 1993–2005, and to describe women’s characteristics, causes of death and improvable factors. MATERIAL AND METHODS: We performed a nationwide, cohort study of all maternal deaths between January 1, 2006 and December 31, 2018 reported to the Audit Committee Maternal Mortality and Morbidity. Main outcome measures were the national MMR and causes of death. RESULTS: Overall MMR was 6.2 per 100 000 live births, a decrease from 12.1 in 1993–2005 (risk ratio [RR] 0.5). Women with a non‐western ethnic background had an increased MMR compared with Dutch women (MMR 6.5 vs. 5.0, RR 1.3). The MMR was increased among women with a background from Surinam/Dutch Antilles (MMR 14.7, RR 2.9). Half of all women had an uncomplicated medical history (79/161, 49.1%). Of 171 pregnancy‐related deaths within 1 year postpartum, 102 (60%) had a direct and 69 (40%) an indirect cause of death. Leading causes within 42 days postpartum were cardiac disease (n = 21, 14.9%), hypertensive disorders (n = 20, 14.2%) and thrombosis (n = 19, 13.5%). Up to 1 year postpartum, the most common cause of death was cardiac disease (n = 32, 18.7%). Improvable care factors were identified in 76 (47.5%) of all deaths. CONCLUSIONS: Maternal mortality halved in 2006–2018 compared with 1993–2005. Cardiac disease became the main cause. In almost half of all deaths, improvable factors were identified and women with a background from Surinam/Dutch Antilles had a threefold increased risk of death compared with Dutch women without a background of migration.
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spelling pubmed-95646022022-12-06 Confidential enquiry into maternal deaths in the Netherlands, 2006–2018 Kallianidis, Athanasios F. Schutte, Joke M. Schuringa, Louise E. M. Beenakkers, Ingrid C. M. Bloemenkamp, Kitty W. M. Braams‐Lisman, Babette A. M. Cornette, Jerome Kuppens, Simone M. Rietveld, Anna L. Schaap, Timme Stekelenburg, Jelle Zwart, Joost J. van den Akker, Thomas Acta Obstet Gynecol Scand Pregnancy INTRODUCTION: To calculate the maternal mortality ratio (MMR) for 2006–2018 in the Netherlands and compare this with 1993–2005, and to describe women’s characteristics, causes of death and improvable factors. MATERIAL AND METHODS: We performed a nationwide, cohort study of all maternal deaths between January 1, 2006 and December 31, 2018 reported to the Audit Committee Maternal Mortality and Morbidity. Main outcome measures were the national MMR and causes of death. RESULTS: Overall MMR was 6.2 per 100 000 live births, a decrease from 12.1 in 1993–2005 (risk ratio [RR] 0.5). Women with a non‐western ethnic background had an increased MMR compared with Dutch women (MMR 6.5 vs. 5.0, RR 1.3). The MMR was increased among women with a background from Surinam/Dutch Antilles (MMR 14.7, RR 2.9). Half of all women had an uncomplicated medical history (79/161, 49.1%). Of 171 pregnancy‐related deaths within 1 year postpartum, 102 (60%) had a direct and 69 (40%) an indirect cause of death. Leading causes within 42 days postpartum were cardiac disease (n = 21, 14.9%), hypertensive disorders (n = 20, 14.2%) and thrombosis (n = 19, 13.5%). Up to 1 year postpartum, the most common cause of death was cardiac disease (n = 32, 18.7%). Improvable care factors were identified in 76 (47.5%) of all deaths. CONCLUSIONS: Maternal mortality halved in 2006–2018 compared with 1993–2005. Cardiac disease became the main cause. In almost half of all deaths, improvable factors were identified and women with a background from Surinam/Dutch Antilles had a threefold increased risk of death compared with Dutch women without a background of migration. John Wiley and Sons Inc. 2022-03-30 /pmc/articles/PMC9564602/ /pubmed/35352820 http://dx.doi.org/10.1111/aogs.14312 Text en © 2022 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Pregnancy
Kallianidis, Athanasios F.
Schutte, Joke M.
Schuringa, Louise E. M.
Beenakkers, Ingrid C. M.
Bloemenkamp, Kitty W. M.
Braams‐Lisman, Babette A. M.
Cornette, Jerome
Kuppens, Simone M.
Rietveld, Anna L.
Schaap, Timme
Stekelenburg, Jelle
Zwart, Joost J.
van den Akker, Thomas
Confidential enquiry into maternal deaths in the Netherlands, 2006–2018
title Confidential enquiry into maternal deaths in the Netherlands, 2006–2018
title_full Confidential enquiry into maternal deaths in the Netherlands, 2006–2018
title_fullStr Confidential enquiry into maternal deaths in the Netherlands, 2006–2018
title_full_unstemmed Confidential enquiry into maternal deaths in the Netherlands, 2006–2018
title_short Confidential enquiry into maternal deaths in the Netherlands, 2006–2018
title_sort confidential enquiry into maternal deaths in the netherlands, 2006–2018
topic Pregnancy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564602/
https://www.ncbi.nlm.nih.gov/pubmed/35352820
http://dx.doi.org/10.1111/aogs.14312
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