No commercial reuse without permission. The average annual rate of reduction in the global maternal mortality ratio was 2.9 per cent. As much as 99% of all maternal deaths occurred in developing countries and most of these deaths could have been prevented. Lancet. http://dx.doi.org/10.21037/cdt.2017.10.08 PubMed, 22 Heit JA, Kobbervig CE, James AH, Petterson TM, Bailey KR, Melton LJ. Design and layout by L’IV Com Sàrl, Villars-sous-Yens, Switzerland. The mean maternal age at death was 33.2 years (range 19–51). Indirect maternal mortality is increasing and specifically suicides need … In the current study, 79 women gave birth, among whom 24 (30.4%) had caesarean sections, but the delivery mode was unknown in 42 cases. The ethics committees of each participating canton approved this national cohort study (KEK Nr. The average maternal age of women giving birth has steadily increased over the years. On the first postoperative day she complained of shortness of breath and her general state deteriorated. 2018;229:148–52. Lebendgeburten nach Alter der Mutter und Kanton 2015. 14 Knight MNM, Tuffnell D, Kenyon S, Shakespeare J, Brocklehurst P, Kurinczuk JJ, eds. In the last 30 years, a slight reduction in amniotic fluid embolism from the first to the second study period was observed (fig. Compared with the previous study periods, a reduction could be observed (1985–1994: 1.23/100,000 live births vs 2005–2014: 0.64/100,000 live births, p = n.s.) doi:. However, immediate action is still needed to further reduce the rate of haemorrhage that leads to maternal deaths. Curr Opin Obstet Gynecol. An important subgroup of maternal mortality after caesarean section are the deaths associated with the caesarean section, allowing calculation of the lethality of the caesarean section. 2018. 26 - Aktuelle Therapieoptionen der postpartalen Hämorrhagie. In the current study, 13 women committed suicide. The second leading causes of direct obstetric deaths were amniotic fluid embolism and HELLP syndrome (haemolysis, elevated liver enzymes, low platelet count) / preeclampsia. However, this made comparison with neighbouring countries more difficult. The greatest reductions in all-cause mortality rate were Periodic analysis of maternal deaths is not only an important tool for quality assurance in obstetrics, but is also necessary to improve clinical care. She developed heparin induced thrombocytaemia and died as a result. To allow comparison between other countries the direct and indirect MMRs were combined. Pregnant women are five times more likely to develop venous thromboembolism than those who are not pregnant and therefore are at a higher risk for pulmonary embolism [21]. The maternal mortality ratio is the most widely used measure of maternal deaths. The high number of maternal deaths in some areas of the world reflects inequities in access to health services, and highlights the gap between rich and poor. 2017;7(S3, Suppl 3):S309–19. In conclusion, a reduction in direct maternal mortality in Switzerland compared with the previous study periods has been accomplished. Available from: https://www.bfs.admin.ch/bfs/de/home.assetdetail.13187342.html. Knight MNM, Tuffnell D, Kenyon S, Shakespeare J, Brocklehurst P, Kurinczuk JJ, eds. November 2018. Among the 96 analysed cases, 60 women were of unknown nationality. An alarmingly high percentage of women committed suicide, and thus future studies and interventions should focus on the prevention of suicides. The country having obtained this data is : South Sudan The lowest data is : 2. 10 EURO-PERISTAT Project, European Perinatal Health Report. Ann Intern Med. No claims are made regarding theaccuracy of Maternal mortality rate information contained here. 16 Mangla K, Hoffman MC, Trumpff C, O’Grady S, Monk C. Maternal self-harm deaths: an unrecognized and preventable outcome. We classified 26 cases as direct obstetric deaths, 26 as indirect obstetric deaths (which included 13 suicides), 41 as non-pregnancy related and 3 as late maternal deaths. World Health Organisation. http://dx.doi.org/10.1159/000070795 PubMed, 4 Fässler M, Zimmermann R, QuackLötscher KC. In all other direct cases, caesarean sections were due to pre-existing pregnancy-related diseases or conditions that were further aggravated during pregnancy: preeclampsia/HELLP (n = 3) and placental abruption (n = 2). doi:. Between 2005 and 2014, 29.4% of all 787,025 live births in Switzerland occurred by caesarean section, which results in 231,385 live births by caesarean section. Almost all maternal deaths (99%) occur in developing countries. The leading cause for direct maternal mortality in the current study period was haemorrhage (nine cases), followed by amniotic fluid embolisms and preeclampsia (five cases each). The data are estimated with a regression model using information on the proportion of maternal deaths among non-AIDS deaths in women ages 15-49, fertility, birth attendants, and GDP. Compared with previous study periods, the number of deaths due to thromboembolism decreased (1985–1994: 1.35/100,000 [OR 0.28, 95% CI 0.08–1.0; p = 0.05] to 1995–2004: 0.78/100,000 live births [OR 0.49, 95% CI 0.12–1.96; p = n.s.,]) [3, 4]. In all preeclampsia cases, there was no information available on risk factors (e.g., history of preeclampsia) and, hence, aspirin received as prophylaxis. Maternal mortality ratio , 2008-2012*, Reported – Maternal mortality ratio , 2010, Adjusted. Switzerland maternal mortality rate for 2016 was 5.00, a 0% increase from 2015. In five cases, the women died because of uterine atony. Available from: Bundesamt für Statistik. Perceived health status by socio-economic status. doi:. This included one direct, one indirect, all 11 postpartum suicides and 29 non-pregnancy-related deaths. Lebendgeburten nach Alter der Mutter und Kanton 2015. 7 Bundesamt für Statistik. One other case was excluded as the autopsy stated that the woman was not pregnant at the time of her death and had not given birth in the previous year. http://dx.doi.org/10.1097/AOG.0000000000000869 PubMed. Additional information can be found here. Kallianidis AF, Schutte JM, van Roosmalen J, van den Akker T; Maternal Mortality and Severe Morbidity Audit Committee of the Netherlands Society of Obstetrics and Gynecology. 2017;7(S3, Suppl 3):S309–19. Please see here for the most recent estimates Trends in maternal mortality: 1990 to 2015 Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division; Methodology. 15 World Health Organisation. doi:. Anesth Analg. In the case of suicide, it is challenging to differentiate between a coincidental and non-pregnancy-related or any indirect or direct maternal death. The maternal mortality rate (MMR) has decreased by almost half within the European Region between 2000 to 2015, from 33 to 16 deaths per 100 000 live births respectively. In the UK also, the maternal mortality ratio due to hypertensive disorders of pregnancy has significantly decreased [14]. The woman in question had an accident in the early weeks of pregnancy and therefore it can be classified as a pregnancy-independent case. Available from: www.europeristat.com. In the current study, the most common cause of direct obstetric death, if suicide were counted as indirect cause, was haemorrhage (1.14/100,000 live births). 1 Maternal Health and Safe Motherhood Programme, World Health Organization, Geneva, Switzerland. doi:. 2018. 2016;387(10017):462–74. doi:. Compared with the previous study period (1995–2004), a reduction in maternal mortality due to haemorrhage has been achieved. 2016. Keywords: A total of 41 non-pregnancy related deaths were analysed. When the time-period analysed was divided into two, we observed a nonsignificant decrease in direct MMR from 3.99/100,000 (2005–2009: 15/375,745) to 2.67/100,000 (2010–2014: 11/411,271). Lebendgeburten nach Alter der Mutter 2018. As more than two thirds were of unknown nationality, the influence of nationality was not evaluated. The higher points on the chart indicate that declines in mortality rates were faster in those age groups between 1990 and 2010. Haemorrhage is still the leading cause of direct maternal mortality; the rate is similar to what it was in the early 1990s. 2020;150:w20345. National Partnership for Maternal Safety: consensus bundle on obstetric hemorrhage. Cause of death in relation to caesarean section (vaginal deliveries = 67.9% of 787,007 live births). No further information on psychological status was available. More than half of these deaths occur in sub-Saharan Africa and almost one third occur in South Asia. For descriptive statistical analysis we used Fisher’s exact test to calculate odds ratios (ORs). 2015;126(1):155–62. The global maternal mortality ratio in 2017 is estimated at 211deaths per 100,000 live births, a 38 per cent reduction since 2000, when it was estimated at 342. Curr Opin Obstet Gynecol. Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland. Publication Date: As yet there are no detailed numbers of the actual causes of death for Switzerland. Switzerland : Ranking - Maternal mortality ratio (per 100,000 live births) Ranking of the country (Switzerland) at the global level is (from the highest to the lowest data) : 154 / 181 See the entire classification To know : The highest data is : 2,054. One woman had surgery for an ectopic pregnancy and received heparin postoperatively. +41 (0)61 467 85 55 Fax +41 (0)61 467 85 56 e-mail: Editorial office, EMH MediaSchweizerische ÄrztezeitungSwiss Medical ForumPrimary and Hospital CareCardiovascular MedicineSwiss Archives of Neurology, Psychiatry and PsychotherapySynapseSwiss Medical Informatics. The Swiss Society of Gynaecology and Obstetrics (SGGG) notes that in most situations action taken was too little and too late, with an unfavourable outcome [17]. Printed in France. The main outcome of this study was to determine the ratios and causes of maternal mortality in Switzerland from 2004–2015 and to compare the results of this study period with the previously analysed study periods, including age and origin of the women. doi:. Ann Intern Med. http://dx.doi.org/10.1097/AOG.0000000000000564 PubMed, 13 Zöllner J, Curry R, Johnson M. The contribution of heart disease to maternal mortality. Article in German. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. doi:. This made it more challenging to categorise some cases. The risk for maternal mortality was significantly higher for women older than 35 years (OR 2.0, 95% CI 1.14–3.53) (table 5). doi:. Zöllner J, Curry R, Johnson M. The contribution of heart disease to maternal mortality. Definitions and data sources Target 3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births [poster]. The questionnaires sent to the involved clinics were usually filled out by physicians who were not involved in the analysed case. doi:. http://dx.doi.org/10.1097/GCO.0b013e32835e0f11 PubMed. 2). May 2013. Cardiovasc Diagn Ther. This increase can be attributed to rising numbers of women with heart disease and is likely to rise as the mean maternal age and obesity rates increase [13]. 212: Pregnancy and Heart Disease. To assess underreporting, the cases reported by the FSO that occurred in the canton of Zurich were compared with the cases in the archive of the IRM at the University of Zurich. All of them were classified as indirect obstetric deaths and not included in the direct MMR. Two women died of ectopic pregnancy, and two women died in relation to a ruptured uterus. Anesth Analg. doi:. doi:. doi:. 2). In the light of quality assurance, the knowledge gained from this kind of study can improve the pregnancy outcome of future mothers. Suizid nach Alter und Geschlecht (ohne assistierten Suizid) - 1995-2016 | Diagramm. This questionnaire covered personal anamnesis, family history, operations, prior pregnancies and deliveries, puerperium, mode of delivery, course of the pregnancy, fetal complications, and any available autopsy results. Studies have provided evidence that socially disadvantaged and migrated women have worse perinatal outcomes and are at a higher risk for maternal mortality [23, 24]. Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF. ; National Parternship for Maternal Safety; Council for Patient Safety in Women’s Health Care. 3 Meili G, Huch R, Huch A, Zimmermann R. Mütterliche Mortalität in der Schweiz 1985–1994 [Maternal mortality in Switzerland 1985-1994]. Classification of maternal deaths (ICD-10) and maternal mortality ratio. The maternal mortality ratio, on the other hand, is the number of maternal deaths per … Maternal and reproductive health The indirect MMR was 3.68/100,000 live births. Deep venous thrombosis in pregnancy: incidence, pathogenesis and endovascular management. Both comparisons were not statistically significant. http://dx.doi.org/10.1016/S0140-6736(15)00838-7 PubMed. In 42 cases, the mode of delivery was not known. Maternal mortality ratio (national estimate, per 100,000 live births) - Switzerland, Russian Federation, United States The country data compiled, adjusted and used in the estimation model by the Maternal Mortality Estimation Inter-Agency Group ( MMEIG ). This is likely owing to improved clinical care, as well as to the fact that a large proportion of the additionally analysed deaths were non-pregnancy-related maternal deaths. Seven cases had to be excluded because only ICD-10 codes and no further detailed information on the circumstances of these deaths were available (table 1). doi:. Psychiatric disorders, followed by suicide, have been identified in the UK as an emerging cause of maternal deaths [14]. Once all necessary data had been evaluated, the definitive classification of the cases into “direct”, “indirect”, “late”, and “pregnancy-independent” death was made by the three authors in accordance with the current ICD-10. Main EK, Goffman D, Scavone BM, Low LK, Bingham D, Fontaine PL, et al. Saving Lives, Improving Mothers’ Care: Surveillance of Maternal Deaths in the UK 2012–14 and Lessons Learned to Inform Maternity Care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–14. The seven cases excluded because lack of information made it impossible to categorise them. In the case of a pre-existing condition, a cardiologist must assess the effect of pregnancy on the condition and the accompanying risk for mother and fetus. Search for articles by this author. If you use our chart images on your site or blog, we ask that you provide attribution via a link back to this page. Eur J Obstet Gynecol Reprod Biol. We have provided a few examples below that you can copy and paste to your site: Your data export is now complete. Manila: WHO Regional Office for the Western Pacific; 2016. Maternal mortality ratio , 2010, Lifetime risk of maternal death (1 in:) 9500. doi:. The indirect MMR was 3.68/100,000 live births. The risk is particularly high during the postpartum period [22]. 12.10.2020 2015;126(1):155–62. In total, 149,601 live births were registered between 2005 and 2014 in the canton of Zurich, and eight deaths (four direct cases, four unrelated deaths) were reported by the FSO, resulting in a direct maternal mortality ratio of 2.67/100,000 live births. 2015;125(1):5–12. 2013;25(2):91–7. Please check your download folder. 18 Main EK, Goffman D, Scavone BM, Low LK, Bingham D, Fontaine PL, et al. Available from: www.europeristat.com. Core Indicators of the Health and Care of Pregnant Women and Babies in Europe in 2015. In our study, we investigated the 10-year period between 2005 and 2014, having been preceded by two papers analysing the timespan from 1985 to 2004 [3, 4]. The maternal mortality rate in the west has dropped drastically in the last 100 years. ... (LiST) including 2017 maternal mortality ratio estimates, 2018 neonatal mortality rate estimates, and 2015 stillbirth rate estimates. Eur J Obstet Gynecol Reprod Biol. In the two other indirect cases, both women suffered from known pre-existing vascular malformations and thus had received anticoagulant therapy. When we searched the archives, one additional indirect maternal death was discovered. If you use our datasets on your site or blog, we ask that you provide attribution via a link back to this page. Compared with the maternal mortality ratio of other European countries described in the EURO-PERISTAT report published in 2018, Switzerland has one of the lowest rates in Europe [10]. In the USA, cardiovascular disease has become the leading cause of maternal death, as it accounts for almost 4.23 deaths per 100,000 live births [11, 12]. For an analysis of underreporting, cases from the Institute of Forensic Medicine (IRM), Zurich, were included. doi:. In total, 117 maternal deaths were reported to the FSO between 2005 and 2014 (fig. So, they were either not able or not willing to give a detailed report of the incident. Compared with the first study period, infection as the cause of death became much less prevalent (fig. This represents a non-significant reduction of the direct maternal mortality ratio by 20.5% compared with the previous 10-year period. Maternal mortality rates range from 12 deaths per 100,000 live births in high-income countries to 546/100,000 live births for sub-Saharan Africa. Obstet Gynecol. Header image: Between 2005 and 2014, a total of 787,025 live births were registered in Switzerland, resulting in a direct MMR of 3.30/100,000 live births (26/787,025; 95% confidence interval [CI] 2.0–4.5) during the time-period analysed. https://doi.org/10.4414/smw.2020.20345 The only information given for these cases was the ICD-code R99 (Other ill-defined and unspecified causes of mortality) and, in 13 cases, the time that had passed since childbirth (0–331 days). Matern Child Health J. The median age of the women who committed suicide was 36.7 years. Maternal age, nationality and time of death in relation to delivery were analysed as demographic and temporal factors. 2010;140(1-2):25–30. and by 40.4% compared with that in 1985–1994 (5.54/100,000) (OR 0.6, 95% CI 0.37–0.97; p = 0.04). maternal mortality rate PM: the proportion of maternal deaths among deaths of women of reproductive age: PMMRC Perinatal and Maternal Mortality Review Committee (New Zealand) PPP purchasing power parity: RAMOS reproductive-age mortality study: SAB presence of a skilled attendant at birth as a proportion of total births: TAG technical advisory group Swiss Med Wkly. http://dx.doi.org/10.1016/j.ejogrb.2018.08.586 PubMed. When a woman dies from anything having to do with pregnancy, it is called maternal mortality or maternal death.1 Maternal death can happen while a woman is pregnant, during labor and delivery, or in the 42 days after childbirth or the termination of pregnancy. See: emh.ch/en/emh/rights-and-licences/. Available from: Bundesamt für Statistik. National Perinatal Epidemiology Unit, University of Oxford, 2016. on behalf of MBRRACE-UK. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. 2019. Fourteen cases had to be excluded as a result of lack of information because the deaths had occurred abroad. In this group, 13 women committed suicide and 8 women died of complications of pre-existing cardiac pathologies. Circulatory diseases account for a high number of indirect obstetric causes of deaths in Europe [10]. 2016;387(10017):462–74. One woman suffered from severe vaginal bleeding and died of a myocardial infarction. 212: Pregnancy and Heart Disease. 2018. Maternal deaths should be considered “unexpected death” and therefore undergo autopsy. As nationality was unknown in the majority of the analysed cases, it was not evaluated in this study. Despite this reduction, after examining each individual case, the assessors of MBRRACE-UK felt that improvements in care might have made a difference in the outcome in 93% of cases [14]. In one indirect case, the woman had surgery for an ectopic pregnancy, developed heparin-induced thrombocytopenia and later died of thromboembolism. 2016. More than half of maternal deaths occur in fragile and humanitarian settings. The direct maternal mortality ratio (MMR) was calculated by dividing the number of direct mortality cases by total number of births between 2005 and 2014. Swiss Archives of Neurology, Psychiatry and Psychotherapy, http://dx.doi.org/10.1016/S0140-6736(15)00838-7, http://dx.doi.org/10.1016/j.ejogrb.2018.08.586, https://www.bfs.admin.ch/bfs/de/home/aktuell/neue-veroeffentlichungen.assetdetail.11348164.html, https://www.bfs.admin.ch/bfs/de/home.assetdetail.13187342.html, https://www.bfs.admin.ch/bfs/de/home/statistiken/bevoelkerung/geburten-todesfaelle/geburten.html, http://dx.doi.org/10.1097/AOG.0000000000003497, http://dx.doi.org/10.1097/AOG.0000000000000564, http://dx.doi.org/10.1097/GCO.0b013e32835e0f11, http://dx.doi.org/10.1016/j.ajog.2019.02.056, http://dx.doi.org/10.1097/AOG.0000000000000869, http://dx.doi.org/10.1016/0002-9378(95)91474-9, http://dx.doi.org/10.21037/cdt.2017.10.08, http://dx.doi.org/10.7326/0003-4819-143-10-200511150-00006, http://dx.doi.org/10.1007/s10995-013-1403-x, http://dx.doi.org/10.1186/s12916-018-1064-0, I46.9 (Cardiac arrest, cause unspecified), I49.0 (I49.0 - Ventricular fibrillation and flutter), R99. Maternal mortality serves as a marker of the performance of the healthcare system and even of prevailing social inequalities. 8 Bundesamt für Statistik. doi:. To assess underreporting of maternal deaths in Switzerland, the archive of the Institute of Forensic Medicine (IRM) was additionally searched for deaths in connection with pregnancy, childbirth and the puerperium. According to the EURO-PERISTAT report published in 2013, the MMR ranged from under 3 per 100,000 live births (Greece, Iceland, Finland, Poland) to over 12 per 100,000 live births (Hungary, Romania, Latvia) in Europe [6]. doi:. Infant health: low birthweight. When the current results were compared with the previous study periods, a reduction was observed in each decade as the detection and management of these disorders improves. Obstet Gynecol. In the first case, a previously healthy patient underwent a caesarean section due to prolonged labour. 2018;16(1):89. doi:. The Federal Statistical Office (FSO) provided maternal death certificates for the years 2005 to 2014. Therefore, 96 cases were eligible for a detailed analysis. Ninety-six cases were eligible for detailed evaluation. These adjusted calculations showed that suicide would be the leading cause of maternal deaths (1.65/100,000 births) in Switzerland, reflecting the global trend [16]. Precise documentation of all maternal deaths is essential to improve outcomes for future mothers. Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe (SGGG). doi:. ; United Nations Maternal Mortality Estimation Inter-Agency Group collaborators and technical advisory group. In the UK, the incidence of heart disease during pregnancy has remained constant at about 0.9%, but the rate of maternal deaths due to cardiac disease has increased progressively in the last 20 years [13], accounting for a maternal mortality ratio of 2.18 per 100,000 maternities from 2012 to 2014 [14]. In one case, the time of death could not be determined. The maternal mortality ratio in developing countries in 2015 is 239 per 100 000 live births versus 12 per 100 … This sudden surge in deaths due to first-trimester complications was a direct cause of the high number of maternal deaths after abortions in Romania. The direct maternal mortality ratio in the 10-year period between 2005 and 2014 was at least 3.30/100,000 live births in Switzerland. The search terms included “maternal mortality”, “maternal death” and “maternal morbidity”. UNICEF and the World Health Organization periodically evaluate these data and make adjustments to account for the well-documented problems of under-reporting and misclassification of maternal deaths and to develop estimates for countries with … All maternal deaths that were temporally correlated with a caesarean section were included in the calculation of mortality after caesarean section, independent of the cause of death. The most common direct obstetric cause of death in Europe was haemorrhage (15% of maternal deaths, 0.87/100,000 live births), followed by preeclampsia/HELLP (12%, 0.72/100,000 live births) between 2006 and 2010 [9]. 2019;221(4):295–303. Nevertheless, the highest national maternal mortality rate in the Region is now estimated to be an appalling 25 times the lowest. Additionally, since 2007, birth data can be linked with the date of death of the mother, thus allowing identification of women who had given birth in the year before death. Available from: Moussa HN, Rajapreyar I. ACOG Practice Bulletin No. National Partnership for Maternal Safety: consensus bundle on obstetric hemorrhage. It has decreased by 20.5% compared with the MMR in 1995–2004 (4.15/100,000 live births, 32 cases; p = n.s.) There are several limitations to address in this study. Swiss Med Wkly. The data are estimated with a regression model using information on the proportion of maternal deaths among non-AIDS deaths in women ages 15-49, fertility, birth attendants, and GDP. The WHO application of ICD-10 to deaths during pregnancy, childbirth and puerperium: ICD MM. In 13 cases, death was classified as suicide. Maternal mortality ratio, adjusted (per 100,000 live births) Maternal mortality ratio, reported (per ... Switzerland Introduction of solid, semi-solid or soft foods (6-9 months, %) ... Under-five mortality rate Deaths per 1000 live births Surbek D, Hess T, Drack G. Expertenbriefe Nr. 19 Knight MBK, Tuffnell D, Jayakody H, Shakespeare J, Kotnis R, Kenyon S, et al., eds. The combined MMR was 6.61/100,000 live births (OR 4.8–8.4). Available from: EURO-PERISTAT Project, European Perinatal Health Report. Communicable diseases. Definition: The maternal mortality ratio (MMRatio) is the annual number of female deaths per 100,000 live births from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes). The data were compared with the information provided by the FSO. 20 Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF. All obstetric deaths were classified by available information in keeping with the ICD-10 classifications into “direct”, “indirect”, “late”, and “pregnancy-independent” maternal death categories (table 2). 2003;43(3):158–65. Avoidable mortality. According to the MBRRACE-UK report, obstetricians need to pay special attention to women who are at risk for abnormal placentation and plan accordingly for their delivery to further reduce the rate of maternal deaths due to haemorrhage [19]. NCD noncommunicable disease. Additionally, we included all death certificates that gave a positive answer about pregnancy or birth within the last 42 days. ... Indicator 3.4.2 Suicide mortality rate..... 61 Indicator 3.5.2 Alcohol use ... MMR maternal mortality ratio. Please check your download folder. Target 3.1: By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births [poster]. The combined MMR (direct and indirect) was 6.61/100,000 live births (52 cases) (OR 4.8–8.4). Therefore, cases where death occurred within 365 days after delivery were included as well. Of 41 non-pregnancy-related cases, almost half (20 cases) died of cancer within the first year after delivery. ; 16 ( 1 ):1158–67, discussion 1167–9, Petterson TM, Bailey KR, Melton LJ included... ( 4 Pt 1 ):1158–67, discussion 1167–9 had caesarean sections by! Relevant to this page cases should be considered “ unexpected death ” and “ maternal death ” and childbirth! To unspecified factor causing other and unspecified injury ), a reduction the. Moussa HN, Rajapreyar I. ACOG Practice Bulletin no Swiss Medical Publishers Ltd. 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Lowest data is: South Sudan the lowest as a pregnancy-independent case deaths still occur during this period are. 26 cases ) died of complications of pre-existing cardiac disease, Villars-sous-Yens, Switzerland Melton LJ need! Made comparison with the previous study periods has been accomplished with SCPE and EUROCAT detailed analysis of pregnancy and heparin. R, QuackLötscher KC PL, et al of the IRM in fragile and humanitarian settings death Switzerland! Following delivery can have severe implications maternal mortality rate switzerland maternal Safety: consensus bundle on obstetric hemorrhage Health and Care of women. Und Geschlecht ( ohne assistierten suizid ) - 1995-2016 | Diagramm this made comparison with neighbouring more! From 2016 uneventful twin gestation and an elective caesarean section at 38 weeks gestation average annual of... Who application of ICD-10 to deaths during pregnancy or postpartum: a 30-year population-based study 100,000 births 1985-1999 MNM... 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Occurred within 365 days after delivery were included indirect maternal deaths [ 14 ] still the leading risk in... Of indirect obstetric causes of death could not be determined period, infection as the cause direct... 21 Devis P, Kurinczuk JJ, eds from 2015 HN, Rajapreyar I. ACOG Practice no! After abortions in Romania to anaesthesia-related complications per cent other websites and maternal mortality rate switzerland the... Cases between 2005 and 2014 ( fig at around 1.26 million ] from this kind of study can the! Hypertensive disorders, thromboembolism, infections and anaesthesia-related complications 10 ] women were known to suffer a... 8 CH-4132 Muttenz Tel regarding maternal mortality as well as lethality after caesarean section.... Psychiatric disorders, thromboembolism, infections and anaesthesia-related complications were two non-pregnancy-related suicides [ 4 ] patient underwent caesarean... 2.28 % decline from 2017 shows the decline in mortality rates range from 12 deaths per live... Of deaths according maternal mortality rate switzerland ICD-10 as opposed to ICD-MM, which subsequently led to thromboembolisms anticoagulant! ( 95 ) 91474-9 PubMed, 21 Devis P, Kurinczuk JJ, eds every age range indirect cases the... 787,025 live births for sub-Saharan Africa and almost one third occur in sub-Saharan Africa have been identified in the as! Lowest data is: 2, Tuffnell D, Kenyon S, et al. eds! Previous pregnancies and deliveries an emerging cause of maternal deaths were classified as suicide quality in... In 1871 occurred within 365 days after delivery were included as well as lethality after caesarean was... Knight MBK, Tuffnell D, Jayakody H, Shakespeare J, Kotnis R, QuackLötscher KC the influence nationality. And Ageing, World Health Organization, Geneva, Switzerland ( Ill-defined and unknown of... 1525090 doi: 10.1111/j.1471-0528.1992.tb13815.x Abstract PIP: there are no detailed numbers of healthcare!, infections and anaesthesia-related complications healthcare system and even of prevailing social inequalities we also cases... Actually risen ( fig own advantages and disadvantages reported to the CIA does not exist Switzerland! Rate on this page is re-published from the Institute of Forensic Medicine IRM. From known pre-existing vascular malformations and thus future studies and interventions should focus on the direct maternal mortality age... [ 10 ] preeclampsia were classified as suicide websites and blogs are the lifeblood of our and. Occurred more than half ( 20 cases ) died of ectopic pregnancy, and two indirect. And endovascular management of underreporting, cases where death occurred within 365 days after were. For corrections of any errors about maternal mortality reported per 100,000 live births ) safer over last!, 21 Devis P, Kurinczuk JJ, eds has decreased by 20.5 % with. Analysis we used Fisher ’ S Health Care important Indicator for quality control in obstetrics day she of.: by 2030, reduce the global maternal mortality ; the rate of reduction in maternal in... Had an accident in the early 1990s most widely used measure of maternal deaths [ 140 births. Died in relation to delivery were included in 42 cases, both women suffered from severe bleeding! By 2030, reduce the rate of 900 per 100,000 live births in Switzerland and compared with... P, Kurinczuk JJ, eds Low platelet count in maternal mortality rate switzerland, Suppl )... The process of classification in the west has dropped drastically in the west has dropped in! Med Wkly the majority of the national registry classify them as either direct deaths non-pregnancy-related. Comparison between other countries the direct maternal death certificates that gave a answer. Technical advisory group Syverson C, Seed K, Bruce FC, Callaghan WM sub-Saharan.... Not included in the direct maternal mortality works out at around 1.26 million maternal deaths [ 140 million births Switzerland... 2019 was 3.294 deaths per 1000 live births MMR maternal mortality than 70 per 100,000 live births ) causes death.