Ten Years of Confidential Inquiries Into Maternal Deaths in France, 1998–2007
Abstract
OBJECTIVE: To assess trends in the maternal mortality ratio over a 10-year period in France and the causes, risk factors, quality of care, and avoidability of maternal deaths. METHODS: Maternal deaths up to 1 year after the end of the pregnancy from 1998 to 2007 were identified and studied through the French Confidential Enquiry Into Maternal Deaths system. Time trends were analyzed by comparing the two 5-year periods for maternal mortality ratios, both overall and by women's characteristics, causes of death, existence of suboptimal care, and avoidability. RESULTS: For the 10-year period, 660 maternal deaths were identified. The maternal mortality ratio was similar in the two 5-year periods, 8.8 per 100,000 live births (95% confidence interval [CI] 7.8-9.8) for 1998-2002 and 8.4 per 100,000 live births (95% CI 7.6-9.4) for 2003-2007. The distributions of maternal age, nationality, and of causes of death did not change. Overall, hemorrhage was the leading cause of death, responsible for 18% of maternal deaths, followed by amniotic fluid embolism, thromboembolism, hypertensive disorders, and cardiovascular conditions, each of which contributed to 10-12% of deaths. Suboptimal care decreased from 70% in 1998-2002 to 60% in 2003-2007 (P<.03). Half of all deaths were considered avoidable and this proportion did not change. The most frequent contributory factor was inadequate management. CONCLUSION: The ratio and profile of maternal mortality in France remained unchanged from 1998 to 2007. Half of all maternal deaths are still considered avoidable, which indicates that improvement remains possible. LEVEL OF EVIDENCE: : III.
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PAS becomes a clinical problem after birth, when the placenta does not physiologically detach from the uterus and the forcible removal of the placenta is followed by massive obstetric haemorrhage (MOH), leading to further morbidity and risk of maternal death.
“PAS becomes a clinical problem after birth, when the placenta does not physiologically detach from the uterus and the forcible removal of the placenta is followed by massive obstetric haemorrhage (MOH), leading to further morbidity and risk of maternal death.”
Cites
Saving Mothers’ Lives: Reviewing maternal deaths to make motherhood safer: 2006–2008
Cantwell, R., Clutton-Brock, T. H., COOPER, G. M., Dawson, A. H., Drife, J., Garrod, D., Harper, A., Hulbert, D., Lucas, S. B., McClure, J. H., et al. (2011) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2010.02847.x · Cited by 3,024 · see citing works
Hogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., Lopez, A. D., Lozano, R., & Murray, C. J. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60518-1 · Cited by 2,194 · see citing works
Pregnancy-Related Mortality in the United States, 1998 to 2005
Berg, C. J., Callaghan, W. M., Syverson, C. J., & Henderson, Z. (2010) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181fdfb11 · Cited by 685 · see citing works
Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery
Clark, S. L., Belfort, M. A., Dildy, G. A., Herbst, M., Meyers, J. A., & Hankins, G. D. V. (2008) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2008.03.007 · Cited by 629 · see citing works
Preventability of Pregnancy-Related Deaths: Results of a State-Wide Review
Berg, C., Harper, M., Atkinson, S. M., Bell, E., Brown, H., Hage, M., Mitra, A., Moise, K., & Callaghan, W. (2005) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000187894.71913.e8 · Cited by 459 · see citing works
Blondel, B., Lelong, N., Kermarrec, M., & Goffinet, F. (2012) · Journal de gynécologie, obstétrique et biologie de la reproduction. Supplément/Journal de gynécologie obstétrique et biologie de la reproduction · doi:10.1016/j.jgyn.2012.04.014 · Cited by 285 · see citing works
Rise in maternal mortality in the Netherlands
Schutte, J., Steegers, E., Schuitemaker, N., Santema, J. G., de Boer, K., Pel, M., Vermeulen, G., Visser, W. E., & van Roosmalen, J. (2009) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2009.02382.x · Cited by 264 · see citing works
Belghiti, J., Kayem, G., Dupont, C., Rc, R., Bouvier‐Colle, M., & Deneux‐Tharaux, C. (2011) · BMJ Open · doi:10.1136/bmjopen-2011-000514 · Cited by 240 · see citing works
Self-citationPostpartum Hemorrhage Resulting From Uterine Atony After Vaginal Delivery
Driessen, M., Bouvier‐Colle, M., Dupont, C., et al. (2010) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e318202c845 · Cited by 223 · see citing works
Self-citationUnderreporting of pregnancy-related mortality in the United States and Europe
Deneux-Tharaux, C., Berg, C., Bouvier-Colle, M.-H., Gissler, M., Harper, M., Nannini, A., Alexander, S., Wildman, K., Breart, G., & Buekens, P. (2005) · Obstetrics & Gynecology · doi:10.1097/01.aog.0000174580.24281.e6 · Cited by 187 · see citing works
Self-citationExtreme Obesity in Pregnancy in the United Kingdom
Knight, M., Kurinczuk, J. J., Spark, P., & Brocklehurst, P. (2010) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181da8f09 · Cited by 175 · see citing works
Hémorragies du post-partum : recommandations du CNGOF pour la pratique clinique (décembre 2004)
Goffinet, F., Mercier, F. J., Teyssier, V., et al. (2005) · Gynécologie Obstétrique & Fertilité · doi:10.1016/j.gyobfe.2005.03.016 · Cited by 131 · see citing works
Deneux‐Tharaux, C., Dupont, C., Colin, C., Rabilloud, M., Touzet, S., Lansac, J., Harvey, T., Tessier, V., Chauleur, C., Pennehouat, G., et al. (2010) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2010.02648.x · Cited by 107 · see citing works
Self-citationPhilibert, M., Deneux‐Tharaux, C., & Bouvier‐Colle, M. (2008) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2008.01860.x · Cited by 105 · see citing works
Self-citationMaternal and perinatal mortality
Atrash, H. K., Rowley, D. L., & HOGUE, C. J. R. (1992) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/00001703-199202000-00009 · Cited by 91 · see citing works
Farquhar, C. M., Sadler, L. C., Masson, V. L., Bohm, G., & Haslam, A. (2011) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.07.044 · Cited by 68 · see citing works
An assessment of pregnancy‐related mortality in the United States
MacKay, A. P., Berg, C. J., Duran, C. R., Chang, J., & Rosenberg, H. (2005) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2005.00653.x · Cited by 65 · see citing works
Bhopal, R. S., Rafnsson, S. B., Agyemang, C. O., et al. (2011) · European Journal of Public Health · doi:10.1093/eurpub/ckr062 · Cited by 56 · see citing works
Critical care and transfusion management in maternal deaths from postpartum haemorrhage
Bonnet, M., Deneux‐Tharaux, C., & Bouvier‐Colle, M. (2011) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2011.04.042 · Cited by 51 · see citing works
Self-citationAudureau, É., Deneux‐Tharaux, C., Lefèvre, P., Brucato, S., Morello, R., Dreyfus, M., & Bouvier‐Colle, M. (2009) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2009.02238.x · Cited by 43 · see citing works
Self-citationTemporal Trends in Maternal Mortality in Canada II: Estimates Based on Hospitalization Data
Lisonkova, S., Liu, S., Bartholomew, S., Liston, R. M., & Joseph, K. S. (2011) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(16)35051-4 · Cited by 34 · see citing works
Understanding regional differences in maternal mortality: a national case–control study in France
Saucedo, M., Deneux‐Tharaux, C., & Bouvier‐Colle, M. (2011) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2011.03220.x · Cited by 34 · see citing works
Self-citationMethods for identifying pregnancy‐associated deaths: population‐based data from Finland 1987–2000
Gissler, M., Berg, C. J., Bouvier‐Colle, M., & Buekens, P. M. (2004) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2004.00591.x · Cited by 33 · see citing works
Self-citationMorbid obesity: a risk factor for maternal mortality
Cevik, B. E., İlham, C., Örskıran, A., et al. (2006) · International Journal of Obstetric Anesthesia · doi:10.1016/j.ijoa.2006.02.001 · Cited by 9 · see citing works
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Myths and realities of training in obstetric emergencies.
Draycott, T. J., Collins, K. J., Crofts, J. F., Siassakos, D., Winter, C., Weiner, C. P., & Donald, F. (2015) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2015.07.003 · Cited by 64 · see citing works
McCall, S. J., Deneux‐Tharaux, C., Sentilhes, L., Ramakrishnan, R., Collins, S. L., Seco, A., Kurinczuk, J. J., Knight, M., & Kayem, G. (2022) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17169 · Cited by 38 · see citing works
Self-citation
- Authors
- Saucedo, M., Deneux-Tharaux, C., & Bouvier-Colle, M.-H.
- Affiliations
- Institut de Veille Sanitaire (FR)
- ORCID
- Saucedo, Monica
- Venue
- Obstetrics & Gynecology
- Published
- 2013-10
- Volume
- 122
- Issue
- 4
- Pages
- 752-760
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2004323726
- Cited by
- 145
- References
- 24
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 9 · 2021: 8 · 2020: 12 · 2019: 14 · 2018: 10 · 2017: 21 · 2016: 22 · 2015: 18 · 2014: 12 · 2013: 3
- FWCI
- 17.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- maternal mortality, maternal mortality ratio, causes of maternal death, hemorrhage, amniotic fluid embolism, thromboembolism, hypertensive disorders of pregnancy, cardiovascular complications, avoidable maternal deaths, suboptimal care, maternity care quality, temporal trends, France
- MeSH terms
- Adult, Cause of Death, Female, France, Humans, Maternal Mortality, Pregnancy, Quality of Health Care, Risk Factors, Young Adult
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