The maternal mortality rate in the west has dropped drastically in the last 100 years. Regional Office for the Western P. Sustainable development goals (SDGs): Goal 3. 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. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. The infant mortality rate for Switzerland in 2019 was 3.294 deaths per 1000 live births, a 2.23% decline from 2018. - Maternal mortality ratio (per 100,000 live births): 5 (#165 highest) ... - Mortality rate attributed to household and ambient air pollution (per 100,000 people): 20 (#153 highest) ... Switzerland's health-care system is one of the best in the world. We would like to thank all the doctors in the different hospitals or other medical settings that helped to gather the information on individual cases. Public Service Open Access is also known als Diamond or Platinum OA. on behalf of MBRRACE-UK. In this study, maternal death due to thromboembolism was the third most common cause of death (0.38/100,000 live births). Anesth Analg. Zöllner J, Curry R, Johnson M. The contribution of heart disease to maternal mortality. The data were compared with the information provided by the FSO. 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. 7 Bundesamt für Statistik. Maternal mortality ratio is the number of women who die during pregnancy and childbirth, per 100,000 live births. Available from: https://www.bfs.admin.ch/bfs/de/home/aktuell/neue-veroeffentlichungen.assetdetail.11348164.html. Available from: www.europeristat.com. On the first postoperative day she complained of shortness of breath and her general state deteriorated. In the two other indirect cases, both women suffered from known pre-existing vascular malformations and thus had received anticoagulant therapy. 2015;126(1):155–62. 16 Mangla K, Hoffman MC, Trumpff C, O’Grady S, Monk C. Maternal self-harm deaths: an unrecognized and preventable outcome. 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). Among the 96 analysed cases, 60 women were of unknown nationality. If the suicide cases are included in the direct mortality, the ratio would be 5.0/100,000 live births (table 4). In all other direct cases, caesarean sections were due to pre-existing pregnancy-related diseases or conditions that were further aggravated during pregnancy: preeclampsia/HELLP (n = 3) and placental abruption (n = 2). Swiss Med Wkly. 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% [9]. Ann Intern Med. Additionally, we included all death certificates that gave a positive answer about pregnancy or birth within the last 42 days. Obstet Gynecol. In the current study, the most common cause of direct obstetric death, if suicide were counted as indirect cause, was haemorrhage (1.14/100,000 live births). It measures obstetric risk (i.e., the risk of dying once a woman is pregnant). doi:. ; National Parternship for Maternal Safety; Council for Patient Safety in Women’s Health Care. doi:. Haemorrhage was classified as a direct obstetric case, except for one indirect case. However, this made comparison with neighbouring countries more difficult. Fourteen cases had to be excluded as a result of lack of information because the deaths had occurred abroad. Trends in Maternal Mortality… Neonatal mortality rate is the number of neonates dying before reaching 28 days of age, per 1,000 live births in a given year. 8 Bundesamt für Statistik. 2 World Health Organization. NCD noncommunicable disease. Schweizerische Gesellschaft für Gynäkologie und Geburtshilfe (SGGG). Compared with the first study period, infection as the cause of death became much less prevalent (fig. Am J Obstet Gynecol. Periodic analysis of maternal deaths is not only an important tool for quality assurance in obstetrics, but is also necessary to improve clinical care. This also allowed a direct comparison with the previous study periods. http://dx.doi.org/10.7326/0003-4819-143-10-200511150-00006 PubMed, 23 Pedersen GS, Grøntved A, Mortensen LH, Andersen AM, Rich-Edwards J. Maternal mortality among migrants in Western Europe: a meta-analysis. 11 Moussa HN, Rajapreyar I. ACOG Practice Bulletin No. The maternal mortality ratio in developing countries in 2015 is 239 per 100 000 live births versus 12 per 100 … Between 2005 and 2014, a total of 787,025 live births were registered in Switzerland, resulting in a direct MMR of 3.30/100,000 live births (26/787,025; 95% confidence interval [CI] 2.0–4.5) during the time-period analysed. In the current study, as many as 30.8% of all indirect maternal deaths were a result of a cardiac pathology. Deep venous thrombosis in pregnancy: incidence, pathogenesis and endovascular management. Regional Office for the Western P. Sustainable development goals (SDGs): Goal 3. The woman in question had an accident in the early weeks of pregnancy and therefore it can be classified as a pregnancy-independent case. 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). Maternal mortality by maternal age in Switzerland 2005–2014. 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). 2). 2005;143(10):697–706. NOTE: The information regarding Maternal mortality rate on this page is re-published from the CIA World Factbook 2020. doi:. This is a result of the reduced rates of hypertensive disorders, thromboembolism, infections and anaesthesia-related complications. In 16 cases, death occurred during pregnancy. Matern Child Health J. doi:. Core Indicators of the Health and Care of Pregnant Women and Babies in Europe in 2015. Therefore, cases where death occurred within 365 days after delivery were included. Search for articles by this author. Both comparisons were not statistically significant. 20 Clark SL, Hankins GD, Dudley DA, Dildy GA, Porter TF. Direct maternal mortality in Switzerland 1985–2014. Although this had no effect on the direct maternal mortality ratio, the rate of underreporting for all maternal mortality cases was 11.1%. In the case of a pre-existing condition, a cardiologist must assess the effect of pregnancy on the condition and the accompanying risk for mother and fetus. Maternal mortality serves as a marker of the performance of the healthcare system and even of prevailing social inequalities. One woman had surgery for an ectopic pregnancy and received heparin postoperatively. Indirect maternal mortality is increasing and specifically suicides need … In order to offer you a better user experience, we use cookies. http://dx.doi.org/10.4414/smw.2010.12768 PubMed, 5 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. 2003;43(3):158–65. As observed in the current study, this group of women is at a higher risk for perinatal mortality (table 5). National Perinatal Epidemiology Unit, University of Oxford, 2016. No financial support and no other potential conflict of interest relevant to this article was reported. Amniotic fluid embolism and preeclampsia were classified as direct obstetric cases. 2010;140(1-2):25–30. The archives of the IRM were searched with the following terms: “pregnancy”, “delivery” and “childbirth”. Deep venous thrombosis in pregnancy: incidence, pathogenesis and endovascular management. World Health Organization. and by 40.4% compared with that in 1985–1994 (5.54/100,000) (OR 0.6, 95% CI 0.37–0.97; p = 0.04). Switzerland maternal mortality rate for 2017 was 5.00, a 0% increase from 2016. Since one of the main outcomes was to draw a comparison between this study and its preceding studies, where this practice was not yet in place, we decided to classify by ICD-10. Women with permanent residence in Switzerland, those who died in Switzerland or abroad, and those who died in Switzerland but were not residing permanently in Switzerland were included in the study. Two women died of ectopic pregnancy, and two women died in relation to a ruptured uterus. In one case, the time of death could not be determined. and by 40.4% compared with the MMR in 1985–1994 (5.54/100,000 live births, 45 cases; odds ratio [OR] 0.6, p = 0.04, 95% confidence interval [CI] 0.37–0.97). Article in German. PMID: 1525090 DOI: 10.1111/j.1471-0528.1992.tb13815.x Abstract PIP: There are various methods of measuring maternal mortality each with its own advantages and disadvantages. Maternal mortality ratio is the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination per 100,000 live births. In 2015, 31.2% of all women with live births in Switzerland were 35 years or older [8]. The second leading causes of direct obstetric deaths were amniotic fluid embolism and HELLP syndrome (haemolysis, elevated liver enzymes, low platelet count) / preeclampsia. http://dx.doi.org/10.21037/cdt.2017.10.08 PubMed, 22 Heit JA, Kobbervig CE, James AH, Petterson TM, Bailey KR, Melton LJ. We have provided a few examples below that you can copy and paste to your site: Your data export is now complete. 2). In the general Swiss population from 2012 to 2016, the suicide rate of women aged 15–44 years (including pregnant and postpartum women) was 3.6/100,000 females [6]. Maternal mortality is an important indicator for quality control in obstetrics. The current study did not analyse the distribution of nationalities because of limited data on nationality. As yet there are no detailed numbers of the actual causes of death for Switzerland. 14 ], death was classified as direct obstetric case, a 0 % increase from 2015 archive of direct... 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