[International and French maternal mortality]

Area of Science:

• Obstetrics and Gynecology
• Public Health
• Healthcare Management

Background:

• Maternal mortality remains a significant global health challenge and development indicator.
• France has actively worked to reduce its maternal mortality ratio, aligning with international goals.
• Understanding the causes and trends of maternal deaths is crucial for improving healthcare systems.

Purpose of the Study:

• To analyze trends in French maternal mortality.
• To identify the primary causes of maternal deaths in France.
• To evaluate factors contributing to the reduction of maternal mortality, particularly postpartum hemorrhage.

Main Methods:

• Analysis of triennial national enquiries on maternal deaths.
• Review of reported cases and assessment of event avoidability.
• Examination of implemented prevention and management guidelines and healthcare network initiatives.

Main Results:

• French maternal mortality ratio ranges from 8 to 12 deaths per 100,000 births.
• Direct obstetric causes like postpartum hemorrhage are leading factors, though rates have declined.
• Postpartum hemorrhage (PPH) contribution to maternal mortality decreased from 33% to 18%.

Conclusions:

• Implementation of PPH prevention and management guidelines, supported by professional societies and perinatal networks, has improved outcomes.
• While progress has been made, further improvements in reducing maternal mortality are possible in France.
• Continued focus on major causes and collaborative efforts are essential for enhancing maternal health care.