Lethality after caesarean section was 0.008‰ (2/231,385). The search terms included “maternal mortality”, “maternal death” and “maternal morbidity”. Pregnancy-related mortality in the United States, 2006-2010. As more than two thirds were of unknown nationality, the influence of nationality was not evaluated. Psychiatric disorders, followed by suicide, have been identified in the UK as an emerging cause of maternal deaths . doi:. Switzerland Maternal Mortality Rate 2000-2021, Switzerland maternal mortality rate for 2017 was, Switzerland maternal mortality rate for 2016 was, Switzerland maternal mortality rate for 2015 was, Switzerland maternal mortality rate for 2014 was. Infection was the least common cause for direct obstetric death during this study period (0.26/100,000 live births). Maternal mortality serves as a marker of the performance of the healthcare system and even of prevailing social inequalities. May 2013. When we searched the archives, one additional indirect maternal death was discovered. Available from: www.europeristat.com. 212: Pregnancy and Heart Disease. As the third most common cause of death, “deaths due to first-trimester complications” (e.g., ectopic pregnancies and abortions) were registered, unlike the scenario in 2004 when thromboembolism and amniotic fluid embolism were more common. 2 World Health Organization. doi:. ; National Parternship for Maternal Safety; Council for Patient Safety in Women’s Health Care. NOTE: The information regarding Maternal mortality rate on this page is re-published from the CIA World Factbook 2017. Together with amniotic fluid embolism, preeclampsia/HELLP was found to be the second leading cause of maternal mortality in Switzerland, each accounting for almost 20% of all direct obstetric deaths (0.64/100,000 live births). The Federal Statistical Office (FSO) provided maternal death certificates for the years 2005 to 2014. Definition: The maternal mortality ratio (MMRatio) is the annual number of female deaths per 100,000 live births from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes). Nevertheless, the highest national maternal mortality rate in the Region is now estimated to be an appalling 25 times the lowest. Kallianidis AF, Schutte JM, van Roosmalen J, van den Akker T; Maternal Mortality and Severe Morbidity Audit Committee of the Netherlands Society of Obstetrics and Gynecology. In 2015, roughly 303,000 women worldwide died during pregnancy, childbirth and the postpartum period . Available from: Moussa HN, Rajapreyar I. ACOG Practice Bulletin No. This increase can be attributed to rising numbers of women with heart disease and is likely to rise as the mean maternal age and obesity rates increase . Death was considered a direct result of caesarean section if the cause or mode of death was the direct result of surgical or anaesthetic complications. All suicides were classified as indirect deaths. Public Service Open Access is also known als Diamond or Platinum OA. The secondary outcomes included estimation of underreporting based on a cohort in the canton of Zurich, as well as calculation of the lethality of caesarean section compared with vaginal delivery and making comparisons between the maternal mortality ratios in Switzerland and neighbouring countries in Europe. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. An alarmingly high percentage of women committed suicide, and thus future studies and interventions should focus on the prevention of suicides. According to the EURO-PERISTAT report in 2010, compared with other European countries, Switzerland had the second highest percentage (41.1%) of mothers who were born abroad, being surpassed only by Luxembourg with 66% . 1995;172(4 Pt 1):1158–67, discussion 1167–9. The data were compared with the information provided by the FSO. Two cases of infection were classified as direct deaths, and two as indirect deaths (table 3). Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland. doi:. November 2018. Lebendgeburten nach Alter der Mutter 2018. 2019;221(4):295–303. 2018;16(1):89. doi:. This made it more challenging to categorise some cases. doi:. 2016. Compared with the maternal mortality ratio of other European countries described in the EURO-PERISTAT report published in 2018, Switzerland has one of the lowest rates in Europe . We classified 26 cases as direct obstetric deaths, 26 as indirect obstetric deaths (which included 13 suicides), 41 as non-pregnancy related and 3 as late maternal deaths. There was not enough information about the mental health history of these women to classify them as either direct deaths or non-pregnancy-related deaths. Maternal mortality ratio , 2010, Lifetime risk of maternal death (1 in:) 9500. Trends in Maternal Mortality… The direct maternal mortality ratio (MMR) was calculated by dividing the number of direct mortality cases by total number of births between 2005 and 2014. Available from: www.europeristat.com. Swiss Archives of Neurology, Psychiatry and Psychotherapy, http://dx.doi.org/10.1016/S0140-6736(15)00838-7, http://dx.doi.org/10.1016/j.ejogrb.2018.08.586, https://www.bfs.admin.ch/bfs/de/home/aktuell/neue-veroeffentlichungen.assetdetail.11348164.html, https://www.bfs.admin.ch/bfs/de/home.assetdetail.13187342.html, https://www.bfs.admin.ch/bfs/de/home/statistiken/bevoelkerung/geburten-todesfaelle/geburten.html, http://dx.doi.org/10.1097/AOG.0000000000003497, http://dx.doi.org/10.1097/AOG.0000000000000564, http://dx.doi.org/10.1097/GCO.0b013e32835e0f11, http://dx.doi.org/10.1016/j.ajog.2019.02.056, http://dx.doi.org/10.1097/AOG.0000000000000869, http://dx.doi.org/10.1016/0002-9378(95)91474-9, http://dx.doi.org/10.21037/cdt.2017.10.08, http://dx.doi.org/10.7326/0003-4819-143-10-200511150-00006, http://dx.doi.org/10.1007/s10995-013-1403-x, http://dx.doi.org/10.1186/s12916-018-1064-0, I46.9 (Cardiac arrest, cause unspecified), I49.0 (I49.0 - Ventricular fibrillation and flutter), R99. doi:. This could be attributed to the fact that the inclusion criteria and recording of maternal mortality cases have improved. In one case, the time of death could not be determined. doi:. Please see here for the most recent estimates Trends in maternal mortality: 1990 to 2015 Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division; Methodology. Cardiovasc Diagn Ther. Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe (SGGG). 19 Knight MBK, Tuffnell D, Jayakody H, Shakespeare J, Kotnis R, Kenyon S, et al., eds. As 787,025 live births were recorded between 2005 and 2014 in Switzerland, the direct MMR was 3.30/100,000 live births (26 cases). National Partnership for Maternal Safety: consensus bundle on obstetric hemorrhage. We have provided a few examples below that you can copy and paste to your site: Your image export is now complete. EUP = extrauterine pregnancy; HELLP = haemolysis, elevated liver enzymes, low platelet count. Data on maternal mortality ratios and related causes of death in various countries were searched in the European Perinatal Health Reports, the reports of MBRRACE-UK and PubMed database. See: emh.ch/en/emh/rights-and-licences/. Design and layout by L’IV Com Sàrl, Villars-sous-Yens, Switzerland. The most common direct obstetric cause of death in Europe was haemorrhage (15% of maternal deaths, 0.87/100,000 live births), followed by preeclampsia/HELLP (12%, 0.72/100,000 live births) between 2006 and 2010 . Swiss Medical Weekly EMH Swiss Medical Publishers Ltd. Farnsburgerstrasse 8 CH-4132 Muttenz Tel. doi:. In the current study, 13 women committed suicide. Am J Obstet Gynecol. Definitions and data sources Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF. on behalf of MBRRACE-UK. Heit JA, Kobbervig CE, James AH, Petterson TM, Bailey KR, Melton LJ. Due to improved monitoring strategies, an increase in maternal mortality was expected. World Health Organization. The leading cause for direct maternal mortality in the current study period was haemorrhage (nine cases), followed by amniotic fluid embolisms and preeclampsia (five cases each). To assess underreporting of maternal deaths in Switzerland, the archive of the Institute of Forensic Medicine (IRM) was additionally searched for deaths in connection with pregnancy, childbirth and the puerperium. Indirect maternal mortality is increasing and specifically suicides need … doi:. Header image: http://dx.doi.org/10.1159/000070795 PubMed, 4 Fässler M, Zimmermann R, QuackLötscher KC. On the first postoperative day she complained of shortness of breath and her general state deteriorated. An autopsy was available for 25% of all registered cases (26 out of 102). Haemorrhage is still the leading cause of direct maternal mortality; the rate is similar to what it was in the early 1990s. In the previous study period, there were two non-pregnancy-related suicides . Nonetheless, maternal deaths still occur during this period and are tragic. Classification of maternal deaths (ICD-10) and maternal mortality ratio. Therefore, cases where death occurred within 365 days after delivery were included. The WHO application of ICD-10 to deaths during pregnancy, childbirth and puerperium: ICD MM. Heslehurst N, Brown H, Pemu A, Coleman H, Rankin J. Perinatal health outcomes and care among asylum seekers and refugees: a systematic review of systematic reviews. doi:. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Therefore, the MMR after caesarean section was 0.01%. The current study did not analyse the distribution of nationalities because of limited data on nationality. In our study, we investigated the 10-year period between 2005 and 2014, having been preceded by two papers analysing the timespan from 1985 to 2004 [3, 4]. The data are estimated with a regression model using information on the proportion of maternal deaths among non-AIDS deaths in women ages 15-49, fertility, birth attendants, and GDP. Manila: WHO Regional Office for the Western Pacific; 2016. The leading risk factor in Switzerland is dietary risks. http://dx.doi.org/10.1016/S0140-6736(15)00838-7 PubMed. [3, 4]. The second leading causes of direct obstetric deaths were amniotic fluid embolism and HELLP syndrome (haemolysis, elevated liver enzymes, low platelet count) / preeclampsia. Switzerland maternal mortality rate for 2016 was 5.00, a 0% increase from 2015. http://dx.doi.org/10.1007/s10995-013-1403-x PubMed, 24 Heslehurst N, Brown H, Pemu A, Coleman H, Rankin J. Perinatal health outcomes and care among asylum seekers and refugees: a systematic review of systematic reviews. In 2019, neonatal mortality rate for Switzerland was 2.8 deaths per 1,000 live births. It measures obstetric risk (i.e., the risk of dying once a woman is pregnant). Search for articles by this author. The direct maternal mortality rate (MMR), and indirect and combined MMRs were calculated. We have provided a few examples below that you can copy and paste to your site: Your data export is now complete. An important subgroup of maternal mortality after caesarean section are the deaths associated with the caesarean section, allowing calculation of the lethality of the caesarean section. The archives of the IRM were searched with the following terms: “pregnancy”, “delivery” and “childbirth”. In 42 cases, the mode of delivery was not known. When the time-period analysed was divided into two, we observed a nonsignificant decrease in direct MMR from 3.99/100,000 (2005–2009: 15/375,745) to 2.67/100,000 (2010–2014: 11/411,271). Mangla K, Hoffman MC, Trumpff C, O’Grady S, Monk C. Maternal self-harm deaths: an unrecognized and preventable outcome. Perceived health status by age and gender. Nonetheless, compared with the study period of 1985–1994 (0.98/100,000 live births), maternal mortality has actually risen (fig. However, this made comparison with neighbouring countries more difficult. In this study, we analysed maternal mortality cases between 2005 and 2014 in Switzerland and compared them with those in earlier periods. As the graph below shows, over the past 17 years this indicator reached a maximum value of 13,900 in 2017 and a … Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. Additional information can be found here. Seven cases had to be excluded because only ICD-10 codes and no further detailed information on the circumstances of these deaths were available (table 1). Switzerland : Ranking - Maternal mortality ratio (per 100,000 live births) Ranking of the country (Switzerland) at the global level is (from the highest to the lowest data) : 154 / 181 See the entire classification To know : The highest data is : 2,054. We re-evaluated the anonymous patient documentation for the years 1985-1994 using the officially registered (ICD-8) cases of maternal mortality. Matern Child Health J. According to the MBRRACE-UK report, obstetricians need to pay special attention to women who are at risk for abnormal placentation and plan accordingly for their delivery to further reduce the rate of maternal deaths due to haemorrhage . To assess underreporting, the cases reported by the FSO that occurred in the canton of Zurich were compared with the cases in the archive of the IRM at the University of Zurich. 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