Maternal deaths in the Nordic countries

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Despite the seriousness of the event, maternal deaths are substantially underreported. There is often a missed opportunity to learn from such tragedies. The aim of the study was to identify maternal deaths in the five Nordic countries, to classify causes of death based on internationally acknowledged criteria, and to identify areas that would benefit from further teaching, training or research to possibly reduce the number of maternal deaths.

Related collections

Most cited references 28

Record: found
Abstract: found
Article: not found

The risk factors for postpartum depression: A population-based study

Michael E Silverman, Abraham Reichenberg, David Savitz … (2017)

Background Postpartum depression (PPD) can result in negative personal and child developmental outcomes. Only a few large population based studies of PPD have used clinical diagnoses of depression and no study has examined how a maternal depression history interacts with known risk factors. The objective of the study was to examine the impact of a depression history on PPD and pre- and perinatal risk factors. Method Nationwide prospective cohort study of all women with live singleton births in Sweden from 1997 through 2008. Relative risk of clinical depression within the first year postpartum and two-sided 95% confidence intervals. Results The relative risk of PPD in women with a history of depression was estimated at 21.03 (confidence interval: 19.72–22.42), compared to those without. Among all women, PPD risk increased with advanced age (1.25[1.13–1.37]) and with gestational diabetes (1.70[1.36–2.13]). Among women with a history of depression, pre-gestational diabetes (1.49[1.01–2.21]) and mild preterm delivery also increased risk (1.20[1.06–1.36]). Among women with no depression history, young age (2.14 [1.79–2.57]), those undergoing instrument assisted (1.23[1.09–1.38]) or cesarean (1.64[1.07–2.50]) delivery and moderate preterm delivery increased risk (1.36[1.05–1.75]). Rates of PPD decreased considerably after the first postpartum month (relative risk = 0.27). Conclusion In the largest population based study to date, the risk of PPD was more than 20 times higher for women with a depression history, compared to women without. Gestational diabetes was independently associated with a modestly increased PPD risk. Maternal depression history also had a modifying effect on pre- and perinatal PPD risk factors.

0 comments Cited 99 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Induction of labour versus expectant monitoring for gestational hypertension or mild pre-eclampsia after 36 weeks' gestation (HYPITAT): a multicentre, open-label randomised controlled trial.

Edwin van den Oord, Hubertina Scheepers, A Lub … (2009)

Robust evidence to direct management of pregnant women with mild hypertensive disease at term is scarce. We investigated whether induction of labour in women with a singleton pregnancy complicated by gestational hypertension or mild pre-eclampsia reduces severe maternal morbidity. We undertook a multicentre, parallel, open-label randomised controlled trial in six academic and 32 non-academic hospitals in the Netherlands between October, 2005, and March, 2008. We enrolled patients with a singleton pregnancy at 36-41 weeks' gestation, and who had gestational hypertension or mild pre-eclampsia. Participants were randomly allocated in a 1:1 ratio by block randomisation with a web-based application system to receive either induction of labour or expectant monitoring. Masking of intervention allocation was not possible. The primary outcome was a composite measure of poor maternal outcome--maternal mortality, maternal morbidity (eclampsia, HELLP syndrome, pulmonary oedema, thromboembolic disease, and placental abruption), progression to severe hypertension or proteinuria, and major post-partum haemorrhage (>1000 mL blood loss). Analysis was by intention to treat and treatment effect is presented as relative risk. This study is registered, number ISRCTN08132825. 756 patients were allocated to receive induction of labour (n=377 patients) or expectant monitoring (n=379). 397 patients refused randomisation but authorised use of their medical records. Of women who were randomised, 117 (31%) allocated to induction of labour developed poor maternal outcome compared with 166 (44%) allocated to expectant monitoring (relative risk 0.71, 95% CI 0.59-0.86, p<0.0001). No cases of maternal or neonatal death or eclampsia were recorded. Induction of labour is associated with improved maternal outcome and should be advised for women with mild hypertensive disease beyond 37 weeks' gestation. ZonMw.

0 comments Cited 87 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Suicides during pregnancy and 1 year postpartum in Sweden, 1980-2007.

Annika Esscher, Birgitta Essén, Eva Innala … (2016)

Although the incidence of suicide among women who have given birth during the past 12 months is lower than that of women who have not given birth, suicide remains one of the most common causes of death during the year following delivery in high-income countries, such as Sweden.