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Maternal deaths in Norway 2005-2009. | LitMetric

AI Article Synopsis

  • In Norway, despite low maternal mortality rates, a study revealed significant underreporting of maternal deaths between 2005 and 2009, identifying 26 actual deaths, only 14 of which were recorded officially.
  • The most common causes of maternal death included hypertensive disorders, thromboembolism, and mental illness, with many deaths linked to issues that went unreported in official statistics.
  • The study highlights the need for improved medical care, particularly in managing hypertension in pregnancy and addressing mental health, suggesting that better screening and treatment could prevent future maternal deaths.

Article Abstract

Background: Norway has low maternal mortality, but such deaths are underreported even in high-income countries. Our goal was to identify the exact number of maternal deaths, the causes of death and the potential for improvement through medical care in Norway.

Material And Method: We traced maternal deaths in the period from 1 January 2005 to 31 December 2009 by linking the Medical Birth Registry and the Cause of Death Registry, supplemented with data from maternity clinics. We identified the cause of death and the lessons that could be learned by a meticulous review of each case.

Results: We found 26 maternal deaths during the period, 14 of which were due to direct causes and 12 to indirect causes. The maternal mortality ratio was 8.7/100,000 live births. Fourteen of the deaths were registered in official statistics. Of the 12 deaths that were not included in the statistics, 11 were found through matching the registers and one had been reported directly by the hospital. The most common causes of death were hypertensive disorders during pregnancy (n = 6), thromboembolism (n = 4) and mental illness (n = 4). None of the deaths due to thromboembolism appeared in official statistics. The same applied to nine of the 12 indirect maternal deaths. We found a potential for improved medical care in 14 of 26 cases. Half of these were deaths due to hypertensive disorders during pregnancy or thromboembolism.

Interpretation: Maternal death was considerably underreported in Norwegian official statistics during the period studied. Greater attention should be given to better blood-pressure treatment, stabilisation and timely delivery in the case of hypertension during pregnancy, and to screening for possible pulmonary embolism. The same applies to mental illness and internal medical disorders in pregnant women.

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Source
http://dx.doi.org/10.4045/tidsskr.13.0203DOI Listing

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