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Increased maternal mortality in The Netherlands from group A streptococcal infections
N Schuitemaker1, J van Roosmalen, G Dekker
1Department of Obstetrics and Gynaecology, Diakonessenhuis, Utrecht, The Netherlands.
Objective:
To assess genital tract sepsis-related maternal mortality in The Netherlands during 1983-1992.
Study Design:
A nationwide Confidential Enquiry into the causes of maternal death.
Results:
Genital tract sepsis-related maternal mortality during 1983-1987 was 0.11 per 100,000 live births (1/893,998) and 0.93 per 100,000 live births (9/968,990) during 1988-1992. The relative risk of dying due to sepsis in the second 5-year period as compared to the first period was 10.1 (1/72 versus 9/72 maternal deaths; 95% CI 1.3-82.3; P < 0.01).
Conclusions:
Also in The Netherlands an increase of death due to genital tract sepsis has been observed since the 1980s.