Document Detail

When is a maternal death a maternal death? A review of maternal deaths at the Mercy Maternity Hospital, Melbourne.
MedLine Citation:
PMID:  2593908     Owner:  NLM     Status:  MEDLINE    
The limiting of the reporting of maternal deaths to those that are included in the criteria of the World Health Organization excludes deaths which yield useful information for further improvements in clinical performance. In this series of 22 maternal deaths, six deaths would have been excluded from reporting: one "direct" obstetric death of pre-eclampsia; one "indirect" death as a result of renal and cardiac failure; two deaths as a result of postnatal depression which led to suicide three and four months postpartum, respectively; and two deaths of cancers, where diagnostic delay may have been a result of the coexistent pregnancy. The importance of primary pulmonary hypertension, cardiomyopathy and psychiatric illness is emphasized. We endorse the recent recommendation of the International Federation of Gynaecology and Obstetrics (FIGO) that all maternal deaths that occur more than 42 days after the end of a pregnancy should be assessed for possible relationships with childbirth, and suggest that a time limit of one year would include all deaths that are worthy of scrutiny.
O A Henry; M T Sheedy; N A Beischer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  151     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:    1989 Dec 4-18
Date Detail:
Created Date:  1990-01-22     Completed Date:  1990-01-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  628-31     Citation Subset:  IM    
Mercy Maternity Hospital, East Melbourne, Vic.
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MeSH Terms
Cause of Death
Data Collection
Epidemiologic Methods
Hospitals, Maternity / standards*
Hospitals, Special / standards*
Maternal Mortality*

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