To determine the causes of maternal death in The Netherlands.
Nationwide Confidential Enquiry into the Causes of Maternal Deaths during the period 1983-1992.
Of 192 direct and indirect maternal deaths, 154 (80%) were available for the Enquiry.
The most frequent direct causes were (pre-) eclampsia, thrombo-embolism, obstetrical haemorrhage and sepsis.
Cerebro-and cardiovascular disorders were the most frequent indirect causes of death.
Age above 35 years and parity 3 or more are related to higher maternal mortality.
Women from non-caucasian origin are more prone to death in comparison to caucasian women.
Autopsy was performed in 88 cases (57%). Of the 24 women where labour started at home. the place of birth played a significant role in delay in four.
More efforts should be made to have a higher percentage than 80% available for the Confidential Enquiry as in the UK where only 1-4% of deaths are not available for similar purposes.
Also. the autopsy rate of 57% is much lower than in the UK (82%). Special strategies should be developed to improve maternal health of populations at higher risk such as women of high age and parity and immigrant populations.
Mots-clés Pascal : Gestation, Mère, Pays Bas, Europe, Mort, Enquête, Complication, Epidémiologie, Etiologie, Facteur risque, Gestation pathologie
Mots-clés Pascal anglais : Pregnancy, Mother, Netherlands, Europe, Death, Survey, Complication, Epidemiology, Etiology, Risk factor, Pregnancy disorders
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0290211
Code Inist : 002B20F02. Création : 27/11/1998.