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Reduction in maternal mortality in Denmark over three decades

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Harvard

Bødker, B, Hvidman, L, Weber, T, Møller, M, Andersen, BR, Westergaard, HB, Rosthøj, S & Sørensen, JL 2021, 'Reduction in maternal mortality in Denmark over three decades', Danish Medical Journal, bind 68, nr. 9, A02210143.

APA

Bødker, B., Hvidman, L., Weber, T., Møller, M., Andersen, B. R., Westergaard, H. B., Rosthøj, S., & Sørensen, J. L. (2021). Reduction in maternal mortality in Denmark over three decades. Danish Medical Journal, 68(9), [A02210143].

CBE

Bødker B, Hvidman L, Weber T, Møller M, Andersen BR, Westergaard HB, Rosthøj S, Sørensen JL. 2021. Reduction in maternal mortality in Denmark over three decades. Danish Medical Journal. 68(9):Article A02210143.

MLA

Vancouver

Bødker B, Hvidman L, Weber T, Møller M, Andersen BR, Westergaard HB o.a. Reduction in maternal mortality in Denmark over three decades. Danish Medical Journal. 2021 aug 27;68(9). A02210143.

Author

Bødker, Birgit ; Hvidman, Lone ; Weber, Tom ; Møller, Margrethe ; Andersen, Betina Ristorp ; Westergaard, Hanne Brix ; Rosthøj, Susanne ; Sørensen, Jette Led. / Reduction in maternal mortality in Denmark over three decades. I: Danish Medical Journal. 2021 ; Bind 68, Nr. 9.

Bibtex

@article{15a513fde67e4c8e98adc86c650d8a49,
title = "Reduction in maternal mortality in Denmark over three decades",
abstract = "INTRODUCTION: Women very rarely die during pregnancy and childbirth in Denmark. Although maternal deaths are registered worldwide, various studies indicate that underreporting does occur. This paper presents validated Danish register data for two periods between 1985 and 2017.METHODS: Maternal deaths were identified from 1985 to 1994 and from 2002 to 2017 by linking four national health registers, death certificates and notifications from maternity wards. A group of obstetricians categorised and assessed all medical records, classifying each case by cause of death.RESULTS: Linkage of four registers yielded valid data, leading to the identification of 143 maternal deaths in the abovementioned periods. From 1985-1994 there were 73 deaths and 618,021 live births, resulting in a maternal mortality rate of 11.8 per 100,000 live births with a non-significant 2% annual increase (95% confidence interval (CI): -6.0-11.0%). From 2002 to 2017 there were 70 maternal deaths and 999,206 live births, resulting in a maternal mortality rate of 7.0 per 100,000 live births (95% CI: 5.5-8.9) with a significant 9% annual decrease (95% CI: 4.0-14.0%).CONCLUSIONS: Overall maternal mortality decreased in the course of the two periods (n = 33 years), with a significant decrease during the last period. This is suggested to be a result of multiple clinical and organisational improvements as discussed in the paper.FUNDING: none.TRIAL REGISTRATION: not relevant.",
keywords = "Cause of Death, Denmark/epidemiology, Female, Humans, Maternal Mortality, Medical Records, Pregnancy, Pregnancy Complications",
author = "Birgit B{\o}dker and Lone Hvidman and Tom Weber and Margrethe M{\o}ller and Andersen, {Betina Ristorp} and Westergaard, {Hanne Brix} and Susanne Rosth{\o}j and S{\o}rensen, {Jette Led}",
note = "Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.",
year = "2021",
month = aug,
day = "27",
language = "English",
volume = "68",
journal = "Danish Medical Bulletin (Online)",
issn = "1603-9629",
publisher = "Almindelige Danske Laegeforening",
number = "9",

}

RIS

TY - JOUR

T1 - Reduction in maternal mortality in Denmark over three decades

AU - Bødker, Birgit

AU - Hvidman, Lone

AU - Weber, Tom

AU - Møller, Margrethe

AU - Andersen, Betina Ristorp

AU - Westergaard, Hanne Brix

AU - Rosthøj, Susanne

AU - Sørensen, Jette Led

N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

PY - 2021/8/27

Y1 - 2021/8/27

N2 - INTRODUCTION: Women very rarely die during pregnancy and childbirth in Denmark. Although maternal deaths are registered worldwide, various studies indicate that underreporting does occur. This paper presents validated Danish register data for two periods between 1985 and 2017.METHODS: Maternal deaths were identified from 1985 to 1994 and from 2002 to 2017 by linking four national health registers, death certificates and notifications from maternity wards. A group of obstetricians categorised and assessed all medical records, classifying each case by cause of death.RESULTS: Linkage of four registers yielded valid data, leading to the identification of 143 maternal deaths in the abovementioned periods. From 1985-1994 there were 73 deaths and 618,021 live births, resulting in a maternal mortality rate of 11.8 per 100,000 live births with a non-significant 2% annual increase (95% confidence interval (CI): -6.0-11.0%). From 2002 to 2017 there were 70 maternal deaths and 999,206 live births, resulting in a maternal mortality rate of 7.0 per 100,000 live births (95% CI: 5.5-8.9) with a significant 9% annual decrease (95% CI: 4.0-14.0%).CONCLUSIONS: Overall maternal mortality decreased in the course of the two periods (n = 33 years), with a significant decrease during the last period. This is suggested to be a result of multiple clinical and organisational improvements as discussed in the paper.FUNDING: none.TRIAL REGISTRATION: not relevant.

AB - INTRODUCTION: Women very rarely die during pregnancy and childbirth in Denmark. Although maternal deaths are registered worldwide, various studies indicate that underreporting does occur. This paper presents validated Danish register data for two periods between 1985 and 2017.METHODS: Maternal deaths were identified from 1985 to 1994 and from 2002 to 2017 by linking four national health registers, death certificates and notifications from maternity wards. A group of obstetricians categorised and assessed all medical records, classifying each case by cause of death.RESULTS: Linkage of four registers yielded valid data, leading to the identification of 143 maternal deaths in the abovementioned periods. From 1985-1994 there were 73 deaths and 618,021 live births, resulting in a maternal mortality rate of 11.8 per 100,000 live births with a non-significant 2% annual increase (95% confidence interval (CI): -6.0-11.0%). From 2002 to 2017 there were 70 maternal deaths and 999,206 live births, resulting in a maternal mortality rate of 7.0 per 100,000 live births (95% CI: 5.5-8.9) with a significant 9% annual decrease (95% CI: 4.0-14.0%).CONCLUSIONS: Overall maternal mortality decreased in the course of the two periods (n = 33 years), with a significant decrease during the last period. This is suggested to be a result of multiple clinical and organisational improvements as discussed in the paper.FUNDING: none.TRIAL REGISTRATION: not relevant.

KW - Cause of Death

KW - Denmark/epidemiology

KW - Female

KW - Humans

KW - Maternal Mortality

KW - Medical Records

KW - Pregnancy

KW - Pregnancy Complications

M3 - Journal article

C2 - 34477097

VL - 68

JO - Danish Medical Bulletin (Online)

JF - Danish Medical Bulletin (Online)

SN - 1603-9629

IS - 9

M1 - A02210143

ER -

ID: 67535828