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Maternal deaths in Denmark 2002-2006.

Birgit Bødker1, Lone Hvidman, Tom Weber

  • 1Department of Obstetrics and Gynecology, Hillerød Hospital, Hillerød, Denmark. bib@dadlnet.dk

Acta Obstetricia Et Gynecologica Scandinavica
|April 9, 2009
PubMed
Summary

A new method effectively identified and classified maternal deaths in Denmark (2002-2006), revealing a maternal mortality ratio of 8.0/100,000 live births and highlighting areas for improved care.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal Health Research

Background:

  • Maternal mortality remains a critical public health concern globally.
  • Accurate identification and classification of maternal deaths are essential for targeted interventions.
  • Substandard care contributes significantly to preventable maternal mortality.

Purpose of the Study:

  • To establish a robust methodology for identifying, classifying, and assessing maternal deaths in Denmark.
  • To pinpoint instances of substandard care contributing to maternal mortality.
  • To provide data for improving maternal healthcare quality.

Main Methods:

  • A register-based study combined with case audits using national health data.
  • Inclusion criteria: women dying during pregnancy or within 42 days postpartum.
  • Data sources included the Danish Medical Health Board, death certificates, and hospital records.

Main Results:

  • A maternal mortality ratio of 8.0 per 100,000 live births was determined for the 2002-2006 period.
  • Identified causes of death included cardiac disease, thromboembolism, hypertensive disorders, infections, and suicide.
  • The study identified specific instances of substandard care contributing to these deaths.

Conclusions:

  • The developed method is validated for identifying and assessing maternal deaths and substandard care.
  • Findings can inform focused education and guideline development to reduce maternal mortality.
  • Future research, including 'near miss' studies and international collaboration, can further enhance maternal healthcare.