Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer: 2006–2008статья из журнала
Аннотация: In the triennium 2006-2008, 261 women in the UK died directly or indirectly related to pregnancy.The overall maternal mortality rate was 11.39 per 100,000 maternities.Direct deaths decreased from 6.24 per 100,000 maternities in 2003-2005 to 4.67 per 100,000 maternities in 2006-2008 (p = 0.02).This decline is predominantly due to the reduction in deaths from thromboembolism and, to a lesser extent, haemorrhage.For the first time there has been a reduction in the inequalities gap, with a significant decrease in maternal mortality rates among those living in the most deprived areas and those in the lowest socio-economic group.Despite a decline in the overall UK maternal mortality rate, there has been an increase in deaths related to genital tract sepsis, particularly from community acquired Group A streptococcal disease.The mortality rate related to sepsis increased from 0.85 deaths per 100,000 maternities in 2003-2005 to 1.13 deaths in 2006-2008, and sepsis is now the most common cause of Direct maternal death.Cardiac disease is the most common cause of Indirect death; the Indirect maternal mortality rate has not changed significantly since 2003-2005.This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths.Many of the identified avoidable factors remain the same as those identified in previous Enquiries.Recommendations for improving care have been developed and are highlighted in this report.Implementing the Top ten recommendations should be prioritised in order to ensure the overall UK maternal mortality rate continues to decline.Our aim is to improve the health of mothers, babies and children by carrying out confidential enquires and related work on a nationwide basis and by widely disseminating our findings and recommendations.
Год издания: 2011
Авторы: Roch Cantwell, T. H. Clutton-Brock, Griselda Cooper, Andrew H. Dawson, James Drife, Debbie Garrod, Ann Harper, Diana Hulbert, Sebastian Lucas, J. H. McClure, Harry Millward-Sadler, James P Neilson, Catherine Nelson‐Piercy, Jane E. Norman, Colm O’Herlihy, Margaret R. Oates, Judy Shakespeare, Michael de Swiet, Catherine Williamson, Valerie Beale, Marian Knight, Christopher E. Lennox, Alison Miller, Dharmishta Parmar, Jane Rogers, Anna Springett
Издательство: Wiley
Источник: BJOG An International Journal of Obstetrics & Gynaecology
Ключевые слова: Social Issues and Policies, Primary Care and Health Outcomes, demographic modeling and climate adaptation
Другие ссылки: BJOG An International Journal of Obstetrics & Gynaecology (PDF)
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PubMed (HTML)
BJOG An International Journal of Obstetrics & Gynaecology (HTML)
PubMed (HTML)
Открытый доступ: bronze
Том: 118
Выпуск: s1
Страницы: 1–203