ArticleActa obstetricia et gynecologica Scandinavica2022
Confidential enquiry into maternal deaths in the Netherlands, 2006-2018.
Article in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between migration and severe maternal outcomes in high-income countries: Systematic review and meta-analysis.PLoS medicine · 2023Pooled it
- Caesarean scar pregnancy complicated by partial rupture in the second trimester: A case report.Case reports in women's health · 2024Article
- Spatiotemporal patterns and surveillance artifacts in maternal mortality in the United States: a population-based study.Lancet regional health. Americas · 2024Article
- Implementing group care in Dutch and Surinamese maternity and child care services: the vital importance of addressing outer context barriers.BMC pregnancy and childbirth · 2024Article
- Maternal mortality in eight European countries with enhanced surveillance systems: descriptive population based study.BMJ (Clinical research ed.) · 2022Article
- Confidential enquiry into maternal deaths in the Netherlands, 2006-2018.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Nationwide confidential enquiries into maternal deaths because of obstetric hemorrhage in the Netherlands between 2006 and 2019.Acta obstetricia et gynecologica Scandinavica · 2022Article
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13 authors.
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Abstract
introductionTo 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
methodsWe 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.
resultsOverall 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.
conclusionsMaternal 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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