Document Detail


Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer: 2006-2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom.
MedLine Citation:
PMID:  21356004     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the triennium 2006-2008, 261 women in the UK died directly or indirectly related to pregnancy. The overall maternal mortality rate was 11.39 per 100,000 maternities. Direct deaths decreased from 6.24 per 100,000 maternities in 2003-2005 to 4.67 per 100,000 maternities in 2006–2008 (p = 0.02). This decline is predominantly due to the reduction in deaths from thromboembolism and, to a lesser extent, haemorrhage. For the first time there has been a reduction in the inequalities gap, with a significant decrease in maternal mortality rates among those living in the most deprived areas and those in the lowest socio-economic group. Despite a decline in the overall UK maternal mortality rate, there has been an increase in deaths related to genital tract sepsis, particularly from community acquired Group A streptococcal disease. The mortality rate related to sepsis increased from 0.85 deaths per 100,000 maternities in 2003-2005 to 1.13 deaths in 2006-2008, and sepsis is now the most common cause of Direct maternal death. Cardiac disease is the most common cause of Indirect death; the Indirect maternal mortality rate has not changed significantly since 2003-2005. This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths. Many of the identified avoidable factors remain the same as those identified in previous Enquiries. Recommendations for improving care have been developed and are highlighted in this report. Implementing the Top ten recommendations should be prioritised in order to ensure the overall UK maternal mortality rate continues to decline.
Authors:
Roch Cantwell; Thomas Clutton-Brock; Griselda Cooper; Andrew Dawson; James Drife; Debbie Garrod; Ann Harper; Diana Hulbert; Sebastian Lucas; John McClure; Harry Millward-Sadler; James Neilson; Catherine Nelson-Piercy; Jane Norman; Colm O'Herlihy; Margaret Oates; Judy Shakespeare; Michael de Swiet; Catherine Williamson; Valerie Beale; Marian Knight; Christopher Lennox; Alison Miller; Dharmishta Parmar; Jane Rogers; Anna Springett
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  118 Suppl 1     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-01     Completed Date:  2011-03-14     Revised Date:  2011-10-19    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  1-203     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Counseling
Female
Great Britain / epidemiology
Health Status
Humans
Maternal Health Services / standards*
Maternal Mortality
Patient Care Team
Practice Guidelines as Topic
Preconception Care
Pregnancy
Pregnancy Complications / mortality*,  therapy
Pregnancy Outcome
Prenatal Care / standards
Quality of Health Care
Referral and Consultation
Comments/Corrections
Comment In:
BJOG. 2011 Oct;118(11):1401-2; discussion 1403-4   [PMID:  21906237 ]
BJOG. 2011 Oct;118(11):1402; discussion 1403-4   [PMID:  21906239 ]
BJOG. 2011 Oct;118(11):1402-3; discussion 1403-4   [PMID:  21906238 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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