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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

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Maternal mortality in Italy: a record-linkage study.

S Donati¹, S Senatore, A Ronconi

¹National Centre for Epidemiology, Surveillance, and Health Promotion, Istituto Superiore di Sanità-Italian National Institute of Health, Rome, Italy. serena.donati@iss.it

BJOG : an International Journal of Obstetrics and Gynaecology

|March 12, 2011

Summary

Official maternal death data in Italy significantly underreports actual figures, with underreporting at 63%. This study reveals a maternal mortality ratio of 11.8 per 100,000 live births, highlighting critical gaps in reporting and obstetric care.

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Isolation of Leukocytes from the Human Maternal-fetal Interface

Isolation of Leukocytes from the Human Maternal-fetal Interface

Published on: May 21, 2015

Area of Science:

Public Health
Obstetrics and Gynecology
Epidemiology

Background:

Italy was ranked by The Lancet as having the lowest maternal mortality ratio globally.
Official maternal mortality data relies on death certification, which may not capture all pregnancy-related deaths.

Purpose of the Study:

To accurately detect maternal deaths in five Italian regions.
To analyze the causes of maternal mortality.
To compute the true maternal mortality ratio.

Main Methods:

A record-linkage study was conducted using the Death Registry and Hospital Discharge Database.
Data from five Italian regions included women aged 15-49 hospitalized for pregnancy-related issues between 2000-2007.
Maternal deaths were identified and classified using the 10th International Classification of Diseases.

Main Results:

Underreporting of maternal deaths based on death certification was found to be 63%.
A total of 118 maternal deaths were identified, yielding a maternal mortality ratio of 11.8 per 100,000 live births.
Hemorrhage, thromboembolism, and hypertensive disorders of pregnancy were the primary causes of direct maternal deaths.

Conclusions:

Official Italian maternal mortality data captures only 37% of all maternal deaths.
The study highlights a predominance of direct obstetric deaths, indicating a need for improved obstetric care.
Accurate data collection is crucial for understanding and addressing maternal mortality.