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  1. Matenral deaths and substandard care : the results of a confidential survey in France.

    Article - En anglais

    Objective 

    Confidential enquiries were carried out to attempt to understand why the level of maternal mortality has been high in France.

    Study Design 

    A descriptive retrospective survey has been carried out.

    Five administrative regions participated in the survey.

    All maternal deaths - according to the WHO definition - that occurred in these regions over a period of at least 1 year were studied.

    A specialist completed a full medical questionnaire for each death.

    Then a committee of medical experts determined the reasons for the death and whether it might have been avoided.

    Results 

    Forty-six deaths were recorded, 39 of which were classified as maternal.

    Haemorrhages were the leading underlying cause, then embolisms and hypertensive diseases.

    Of the 39 deaths, 17 were determined to have been certainly avoidable, and nine more probably avoidable.

    More than half of all maternal deaths were related to inappropriate or substandard care.

    These results are discussed in the light of the British and Dutch experience with confidential enquiries into maternal deaths.

    Conclusion 

    There is no clear explanation why the French maternal mortality rate is high, but the study points out some malfunctions in health care service.

    Mots-clés Pascal : Mortalité, Mère, Gestation, Accouchement, Surveillance, Confidentialité, France, Europe, Service santé, Etiologie, Homme, Gestation pathologie, Accouchement pathologie

    Mots-clés Pascal anglais : Mortality, Mother, Pregnancy, Delivery, Surveillance, Confidentiality, France, Europe, Health service, Etiology, Human, Pregnancy disorders, Delivery disorders

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0167624

    Code Inist : 002B20G03. Création : 09/06/1995.