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Cited by 81Medical History and InnovationsHistorical Studies on Reproduction, Gender, Health, and Societal ChangesGlobal Maternal and Child Health

The DOI matches its Crossref record.

The impact of early medical technology on maternal mortality in late 19th century Sweden

Högberg, U., Wall, S., Broström, G.·1986·International Journal of Gynecology & Obstetrics
DOI 10.1016/0020-7292(86)90081-0
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Abstract

The prevention of fatal complications of childbirth is a priority of health care in the developing countries. This historical study of maternal deaths in Sweden analyses the decline in mortality between 1751-1900 and during this years maternal mortality was reduced by 76% whereas the female mortality dropped only by 33% The decline was especially pronounced during the period 1861-1900, when maternal mortality declined from 567 to 227 per 100,000 live births. The potential impact of medical technology was analysed by epidemiological methods for the period 1861-1900. The introduction of antiseptic technique was estimated to reduce septic maternal mortality 25-fold in lying-in hospitals and 2.7-fold in rural home deliveries, implying that 49% of the septic maternal deaths were thus "prevented". In addition, licensed midwives assisting at home deliveries were estimated to reduce non-septic mortality 5-fold, thus "preventing" 46% of the non-septic maternal deaths. This could be one explanation why Sweden had a lower maternal mortality than the U.S. and the U.K. in the beginning of the 20th century.

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Crossref · 10.1016/0020-7292(86)90081-0

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  • Historical studies do not isolate the effect of Sweden's midwifery policies from other potentially important influences, such as the introduction of antiseptic technology and changes in nutrition.

    “However, these studies do not isolate the effect of Sweden's midwifery policies from other potentially important influences, such as the introduction of antiseptic technology and changes in nutrition (Högberg, Wall, and Broströmc 1986; Tomkins 2001).”

    From Occupational Licensing and Maternal Health: Evidence from Early Midwifery Laws (2020) · cites this paper as Högberg, Wall, and Broströmc 1986

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Research works printed but not linked: 41

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Metadata

Authors
Högberg, U., Wall, S., & Broström, G.
Affiliations
  • Umeå University (SE)
  • University Hospital of Umeå (SE)
Corresponding author
Högberg, U.
ORCID
Venue
International Journal of Gynecology & Obstetrics
Publisher
Wiley
Published
1986-08
Volume
24
Issue
4
Pages
251-261
ISSN
  • 0020-6695 (ISSN-L)
  • 0020-7292
  • 1879-3479
DOI
10.1016/0020-7292(86)90081-0
OpenAlex
W1977803813
Cited by
81
References
0
Citations by year
2023: 1 · 2022: 1 · 2021: 4 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 6 · 2013: 4
FWCI
8.52
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 6464 d)
Locations
  • International Journal of Gynecology & Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
Kempe Foundation
Topics
  • Social Sciences › Arts and Humanities › History › Medical History and Innovations
  • Social Sciences › Arts and Humanities › History › Historical Studies on Reproduction, Gender, Health, and Societal Changes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
maternal mortality, antiseptic technique, home delivery, maternity hospital, rural childbirth, medical technology, mortality decline, 19th century, Sweden
MeSH terms
Antisepsis, Female, Humans, Maternal Mortality, Midwifery, Pregnancy, Puerperal Infection, Sweden, History, 18th Century, History, 19th Century

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