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Maternal mortality in Switzerland 2005-2014
Laura Perotto1, Roland Zimmermann1, Katharina C Quack Lötscher1
1Klinik für Geburtshilfe, Universitätsspital Zürich, Switzerland.
Swiss Medical Weekly
|October 21, 2020
Summary
Maternal mortality in Switzerland continues to decline, particularly direct deaths. However, indirect maternal deaths, especially suicides, are increasing and require greater attention for improved obstetric quality control.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Maternal mortality serves as a critical indicator for obstetric quality assessment.
- Periodic evaluation of maternal deaths is essential for enhancing clinical care standards.
Purpose of the Study:
- To analyze maternal mortality cases in Switzerland from 2005-2014.
- To compare recent maternal mortality rates with earlier periods.
Main Methods:
- Utilized death certificates from the Federal Statistical Office (FSO) and the Institute of Forensic Medicine (IRM).
- Classified deaths using ICD-10 codes into direct, indirect, non-pregnancy-related, and late categories.
- Calculated direct, indirect, and combined maternal mortality rates (MMR).
Main Results:
- The direct maternal mortality rate (MMR) was 3.30/100,000 live births, a decrease from previous decades.
- Hemorrhage remained the leading cause of direct maternal mortality.
- Indirect MMR was 3.68/100,000 live births, with suicide being a significant factor.
Conclusions:
- Direct maternal mortality and cesarean section lethality show a continued downward trend.
- Hemorrhage persists as the primary cause of direct maternal mortality.
- Increasing indirect maternal mortality, particularly suicides, necessitates focused interventions and precise documentation.
