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[Maternal mortality estimation in France, according to a new method]
M-H Bouvier-Colle1, C Deneux, E Szego
1INSERM, Unité 149, Recherches épidémiologiques en santé périnatale et santé de la reproduction, Maternité Hôpital Tenon, 4, rue de la Chine, 75020 Paris. mh.bouvier-colle@tnn.ap-hop-paris.fr
Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|October 14, 2004
Summary
France
Area of Science:
- Obstetrics and Gynecology
- Public Health Surveillance
- Epidemiology
Context:
- Maternal mortality monitoring was implemented in France a decade prior.
- Accurate maternal mortality ratio (MMR) estimation is crucial for public health.
- Data collection methods for maternal deaths require continuous refinement.
Purpose:
- To establish a current estimate of the maternal mortality ratio (MMR) in France.
- To re-evaluate maternal death data collection processes.
- To compare 1999 maternal mortality data with 1989-90 figures.
Summary:
- A comprehensive inquiry using linked death and birth data estimated the 1999 MMR at 9 per 100,000 live births.
- This MMR represents an improvement from 1989-90 levels, indicating reduced underestimation of maternal deaths.
- Hemorrhage remains the leading direct obstetric cause of maternal death, highlighting areas for continued focus.
Impact:
- The findings suggest improvements in maternal healthcare, despite rising maternal age at childbirth.
- Persistent issues like postpartum hemorrhage and avoidable deaths indicate critical areas for further intervention.
- Enhanced data collection and analysis contribute to more accurate public health surveillance.