Maternal deaths in Denmark 2002-2006

Birgit Bødker; Lone Hvidman; Tom Weber; Margrethe Møller; Annette Aarre; Karen Marie Nielsen; Jette Led Sørensen; Birgit Bødker; Lone Hvidman; Tom Weber; Margrethe Møller; Annette Aarre; Karen Marie Nielsen; Jette Led Sørensen

doi:10.1080/00016340902897992

Maternal deaths in Denmark 2002-2006

Birgit Bødker, Lone Hvidman, Tom Weber, Margrethe Møller, Annette Aarre, Karen Marie Nielsen, Jette Led Sørensen, Birgit Bødker, Lone Hvidman, Tom Weber, Margrethe Møller, Annette Aarre, Karen Marie Nielsen, Jette Led Sørensen

38 Citations (Scopus)

Abstract

OBJECTIVE: To describe a method for identification, classification and assessment of maternal deaths in Denmark and to identify substandard care. DESIGN: Register study and case audit based on data from the Registers of the Danish Medical Health Board, death certificates and hospital records. SETTING: Denmark 2002-2006. POPULATION: Women who died during a pregnancy or within 42 days after a pregnancy. METHODS: Maternal deaths were identified by notification from maternity wards and data from the Danish National Board of Health. A national audit committee assessed hospital records of direct and indirect deaths. MAIN OUTCOME MEASURES: Maternal mortality ratio, causes of death and suboptimal care. RESULTS: In the study period, 26 women died during pregnancy or within 42 days from direct or indirect causes, leading to a maternal mortality ratio of 8.0/100,000 live births. Causes of death were cardiac disease, thromboembolism, hypertensive disorders of pregnancy, Streptococcus A infections, suicide, amniotic fluid embolism, cerebrovascular hemorrhage, asthma and diabetes. CONCLUSION: Our method proved valid and can be used for future research. Causes of death could be identified and learning points from the assessments could form the basis of focused education and guidelines. Future complementary 'near miss' studies and cooperation with other countries with comparable health systems are expected to improve the benefits of the enquiries, contributing to improved management of life-threatening conditions in pregnancy and childbirth.

Original language	English
Journal	Acta Obstetricia et Gynecologica Scandinavica
Volume	88
Issue number	5
Pages (from-to)	556-62
Number of pages	6
ISSN	0001-6349
DOIs	https://doi.org/10.1080/00016340902897992 https://doi.org/10.1080/00016340902897992
Publication status	Published - 2009

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Bødker, B., Hvidman, L., Weber, T., Møller, M., Aarre, A., Nielsen, K. M., Sørensen, J. L., Bødker, B., Hvidman, L., Weber, T., Møller, M., Aarre, A., Nielsen, K. M., & Sørensen, J. L. (2009). Maternal deaths in Denmark 2002-2006. Acta Obstetricia et Gynecologica Scandinavica, 88(5), 556-62. https://doi.org/10.1080/00016340902897992, https://doi.org/10.1080/00016340902897992

Bødker, B, Hvidman, L, Weber, T, Møller, M, Aarre, A, Nielsen, KM, Sørensen, JL, Bødker, B, Hvidman, L, Weber, T, Møller, M, Aarre, A, Nielsen, KM & Sørensen, JL 2009, 'Maternal deaths in Denmark 2002-2006', Acta Obstetricia et Gynecologica Scandinavica, vol. 88, no. 5, pp. 556-62. https://doi.org/10.1080/00016340902897992, https://doi.org/10.1080/00016340902897992

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title = "Maternal deaths in Denmark 2002-2006",

abstract = "OBJECTIVE: To describe a method for identification, classification and assessment of maternal deaths in Denmark and to identify substandard care. DESIGN: Register study and case audit based on data from the Registers of the Danish Medical Health Board, death certificates and hospital records. SETTING: Denmark 2002-2006. POPULATION: Women who died during a pregnancy or within 42 days after a pregnancy. METHODS: Maternal deaths were identified by notification from maternity wards and data from the Danish National Board of Health. A national audit committee assessed hospital records of direct and indirect deaths. MAIN OUTCOME MEASURES: Maternal mortality ratio, causes of death and suboptimal care. RESULTS: In the study period, 26 women died during pregnancy or within 42 days from direct or indirect causes, leading to a maternal mortality ratio of 8.0/100,000 live births. Causes of death were cardiac disease, thromboembolism, hypertensive disorders of pregnancy, Streptococcus A infections, suicide, amniotic fluid embolism, cerebrovascular hemorrhage, asthma and diabetes. CONCLUSION: Our method proved valid and can be used for future research. Causes of death could be identified and learning points from the assessments could form the basis of focused education and guidelines. Future complementary 'near miss' studies and cooperation with other countries with comparable health systems are expected to improve the benefits of the enquiries, contributing to improved management of life-threatening conditions in pregnancy and childbirth.",

author = "Birgit B{\o}dker and Lone Hvidman and Tom Weber and Margrethe M{\o}ller and Annette Aarre and Nielsen, {Karen Marie} and S{\o}rensen, {Jette Led} and Birgit B{\o}dker and Lone Hvidman and Tom Weber and Margrethe M{\o}ller and Annette Aarre and Nielsen, {Karen Marie} and S{\o}rensen, {Jette Led}",

note = "Keywords: Adult; Cardiovascular Diseases; Cause of Death; Death Certificates; Denmark; Female; Humans; Maternal Age; Maternal Health Services; Maternal Mortality; Population Surveillance; Pregnancy; Pregnancy Complications; Pregnancy Complications, Cardiovascular; Pregnancy Complications, Infectious; Quality of Health Care; Registries; Risk Assessment; Young Adult",

year = "2009",

doi = "10.1080/00016340902897992",

language = "English",

volume = "88",

pages = "556--62",

journal = "Acta Obstetricia et Gynecologica Scandinavica",

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T1 - Maternal deaths in Denmark 2002-2006

AU - Bødker, Birgit

AU - Hvidman, Lone

AU - Weber, Tom

AU - Møller, Margrethe

AU - Aarre, Annette

AU - Nielsen, Karen Marie

AU - Sørensen, Jette Led

AU - Bødker, Birgit

AU - Hvidman, Lone

AU - Weber, Tom

AU - Møller, Margrethe

AU - Aarre, Annette

AU - Nielsen, Karen Marie

AU - Sørensen, Jette Led

N1 - Keywords: Adult; Cardiovascular Diseases; Cause of Death; Death Certificates; Denmark; Female; Humans; Maternal Age; Maternal Health Services; Maternal Mortality; Population Surveillance; Pregnancy; Pregnancy Complications; Pregnancy Complications, Cardiovascular; Pregnancy Complications, Infectious; Quality of Health Care; Registries; Risk Assessment; Young Adult

PY - 2009

Y1 - 2009

N2 - OBJECTIVE: To describe a method for identification, classification and assessment of maternal deaths in Denmark and to identify substandard care. DESIGN: Register study and case audit based on data from the Registers of the Danish Medical Health Board, death certificates and hospital records. SETTING: Denmark 2002-2006. POPULATION: Women who died during a pregnancy or within 42 days after a pregnancy. METHODS: Maternal deaths were identified by notification from maternity wards and data from the Danish National Board of Health. A national audit committee assessed hospital records of direct and indirect deaths. MAIN OUTCOME MEASURES: Maternal mortality ratio, causes of death and suboptimal care. RESULTS: In the study period, 26 women died during pregnancy or within 42 days from direct or indirect causes, leading to a maternal mortality ratio of 8.0/100,000 live births. Causes of death were cardiac disease, thromboembolism, hypertensive disorders of pregnancy, Streptococcus A infections, suicide, amniotic fluid embolism, cerebrovascular hemorrhage, asthma and diabetes. CONCLUSION: Our method proved valid and can be used for future research. Causes of death could be identified and learning points from the assessments could form the basis of focused education and guidelines. Future complementary 'near miss' studies and cooperation with other countries with comparable health systems are expected to improve the benefits of the enquiries, contributing to improved management of life-threatening conditions in pregnancy and childbirth.

AB - OBJECTIVE: To describe a method for identification, classification and assessment of maternal deaths in Denmark and to identify substandard care. DESIGN: Register study and case audit based on data from the Registers of the Danish Medical Health Board, death certificates and hospital records. SETTING: Denmark 2002-2006. POPULATION: Women who died during a pregnancy or within 42 days after a pregnancy. METHODS: Maternal deaths were identified by notification from maternity wards and data from the Danish National Board of Health. A national audit committee assessed hospital records of direct and indirect deaths. MAIN OUTCOME MEASURES: Maternal mortality ratio, causes of death and suboptimal care. RESULTS: In the study period, 26 women died during pregnancy or within 42 days from direct or indirect causes, leading to a maternal mortality ratio of 8.0/100,000 live births. Causes of death were cardiac disease, thromboembolism, hypertensive disorders of pregnancy, Streptococcus A infections, suicide, amniotic fluid embolism, cerebrovascular hemorrhage, asthma and diabetes. CONCLUSION: Our method proved valid and can be used for future research. Causes of death could be identified and learning points from the assessments could form the basis of focused education and guidelines. Future complementary 'near miss' studies and cooperation with other countries with comparable health systems are expected to improve the benefits of the enquiries, contributing to improved management of life-threatening conditions in pregnancy and childbirth.

U2 - 10.1080/00016340902897992

DO - 10.1080/00016340902897992

M3 - Journal article

C2 - 19353337

SN - 0001-6349

VL - 88

SP - 556

EP - 562

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

IS - 5

ER -

Maternal deaths in Denmark 2002-2006

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