maternal mortality rate italy

Related Pages. Maternal death or maternal mortality is defined by the World Health Organization (WHO) as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes." The MMR was calculated as the number of deaths during pregnancy or within 42 days from any pregnancy outcome every 100 000 live births, within the same region and time period. Further, it analyses the role of the linkage between routine statistics in the maternal mortality reporting and its contribution to the prevention of maternal deaths. The latter seems to be the best way to understand the risk factors and the outcomes of pre‐existing medical and mental health disorders during pregnancy and to guide efforts to improve tailored care for complex conditions.3, 15, The lack of awareness about late maternal mortality—occurring from 43 to 365 days after childbirth—has been identified as a further factor leading to fragmented care and missed opportunities during pregnancy or after delivery.16 Therefore, its inclusion in the maternal mortality analysis has been claimed at different levels.13, 17 Indeed, the 2015 MBRRACE‐UK report (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK), that first included information on late maternal deaths gathered through the linkage of adult female deaths and birth information, increased by over 50% the numbers of late deaths compared to those identified through the confidential enquiries.18. MMR by women's socio‐demographic characteristics demonstrated an expected increase in pregnancy related mortality among older women, that is more than three‐fold higher among women aged ≥40 (Table 3). 2013 Jan;108(1):38-49. doi: 10.1111/add.12010. Among the 118 maternal deaths, 51 (43%) were classified as direct with obstetric hemorrhage as the leading cause, 40 (34%) as indirect and 27 (23%) were of unknown cause and therefore not classifiable. PIP: In Italy, maternal mortality declined from 133.3/100,000 live births in 1955 to 11.4/100,000 live births in 1984, a reduction of approximately 90%. Trade in Value Added (December 2018) Health Status. Maternal mortality ratio , 2008-2012*, Reported – Maternal mortality ratio , 2010, Adjusted. As recently proposed by several researchers across Europe,3, 12, 18 we also analyzed our data highlighting the causes of death. As the graph below shows, over the past 58 years this indicator reached a maximum value of 44.20 in 1960 and a minimum value of 2.60 in 2018. Design: Mortality rate in Italy in 2015: an increase of 9.1% to be explained On 19th February 2016 the Italian National Institute of Statistics (ISTAT) released 2015 mortality data reporting 9.1% excess mortality as compared to 2014, this corresponding to 54,000 excess deaths and representing the highest reported mortality rate (10.7 per 1000) since World War 2 (1). Haemorrhage, thromboembolism, and hypertensive disorders of pregnancy are the leading causes of direct deaths. Practical approach to transfusion management of post‐partum haemorrhage, https://www.istat.it/it/popolazione-e-famiglie?dati, http://old.iss.it/binary/moma/cont/LGEPPcorrige.pdf, http://gamapserver.who.int/mapLibrary/Files/Maps/Global_AS_suicide_rates_females_2015.png. . Different time periods were analysed according to local data availability. National Institute of Statistic (ISTAT) demographic balance for live births was used for MMR denominators computation. SAGE Open Med. 2020 May 15;11:441. doi: 10.3389/fpsyt.2020.00441. The maternal deaths identified through the regional and national procedures were compared to validate their correspondence. Maternal mortality ratio , 2010, Lifetime risk of maternal death (1 in:) 20300. Epub 2012 Feb 22. Clipboard, Search History, and several other advanced features are temporarily unavailable. The project was approved by the national Ethics Committee of the Italian National Health Institute (INHI) (Prot. A total of 118 maternal deaths have been identified resulting in a maternal mortality ratio of 11.8, compared with the official figure of 4.4, per 100,000 live births. Every woman resident or living in the participating regions at the time of death and discharged from any public or private hospital for pregnancy or any pregnancy outcome was included in the study. Eight percent of late deaths were from unidentified causes. 2017 Rank Country Maternal mortality ratio per 100,000 live births 1 Belarus: 2 Poland: 2 Italy: 2 Norway: 2 5 Greece: 3 Israel: 3 Finland: 3 Czech Republic: 3 United Arab Emirates: 3 10 Spain: 4 Sweden: 4 Denmark: 4 Iceland: 4 14 Belgium: 5 Luxembourg: 5 Japan: 5 Netherlands: 5 Switzerland: 5 Slovakia: 5 The death of a woman during pregnancy, at delivery, or soon after delivery is a tragedy for her family and for society as a whole. The theme‐based approach to maternal deaths classification is grounded on the evidence that the identification of the specific causes of death is crucial in setting up health priorities and prevention strategies. All suggestions for corrections of any errors about Maternal mortality rate should be addressed to the CIA. Improving reporting of infant deaths, maternal deaths and stillbirths in Haryana, India. Fifteen women died due to thrombosis or thromboembolism (MMR 0.50) and 12 by suicide (MMR 0.40); 15% of deaths were from unidentified causes. Objective: The Risk Factors Predicting Suicidal Ideation Among Perinatal Women in Japan. Record‐linkage is an efficient and reliable method to estimate maternal mortality and to identify causes of maternal deaths. DIC, Disseminated Intravascular Coagulation; PPH, Postpartum Hemorrhage.  |  We point out that 35% of Italian women who deliver are aged ≥35 years and that interventions for labor and delivery management at potentially greater risk of postpartum hemorrhage are frequent (eg 40% of episiotomies and 35% of cesarean section).20 Previous studies showed that many of these deaths are preventable, to the point that the ratio of maternal deaths attributed to hemorrhage has been proposed as an indicator of appropriateness of obstetric care in emergency.18, 25 The specific MMR for obstetric hemorrhage decreased from 2.9 per 100 000 live births in the years 2000‐20076 to 1.92 in 2006‐2012 (P‐value = .0695). These results therefore refer to the 10 participating regions, covering 77% of the total births in Italy. Monitoring severe acute maternal morbidity across Europe: A feasibility study. Suicides have been classified as indirect deaths because the record linkage procedure does not distinguish those occurring in women with previous psychiatric disorders—classifiable as indirect deaths and first by frequency according to the literature—from those related to postpartum psychosis that could be classified as direct deaths according to the ICD‐MM (World Health Organization Application of ICD‐10 to deaths during pregnancy, childbirth and the puerperium).13 Deaths resulting from road or other accidents, assault or rape were classified as coincidental. Sadly, about 700 women die each year in the United States as a result of pregnancy or delivery complications. Maternal mortality ratio is the number of women who die during pregnancy and childbirth, per 100,000 live births. The preterm birth rate of 20% and the cesarean delivery rate exceeding 80% seems related to geographic practice patterns. These amplify the differences in risk between high and low-income countries. ... Maternal and infant mortality Customise. Monetary conversion rates. We are grateful to Silvia Andreozzi for her valuable technical assistance and Gianpaolo Coscia and Claudia Ferraro for the English language revision. 2012 Apr;91(4):452-7. doi: 10.1111/j.1600-0412.2012.01352.x. The value for Mortality rate, infant (per 1,000 live births) in Italy was 2.60 as of 2018. If you do not receive an email within 10 minutes, your email address may not be registered, Linea guida. Italy maternal mortality rate for 2016 was 2.00 , a 0% increase from 2015. The opportunities offered by linkage procedures of routine data exhibited limitations: (i) information was not always sufficient to attribute the primary cause of death, (ii) information on the woman's health status before and during pregnancy was not available, (iii) critical aspects of care that can help in preventing and limiting avoidable negative outcomes were not identified. Linking disease registries and nationwide healthcare administrative databases: the French renal epidemiology and information network (REIN) insight. The ratio was significantly higher amongst women aged ≥40 years (MMR 27.04) and Asian women (MMR 22.87), half of which were Chinese. The maternal mortality ratio in developing countries in 2015 is 239 per 100 000 live births versus 12 per 100 … 2016 May 1;94(5):370-5. doi: 10.2471/BLT.15.157693. Show more. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. In response to “missed opportunities and potentially misleading results in maternal mortality study”. Alice Maraschini, National Center for Disease Prevention and Health Promotion, Italian National Institute of Health‐Istituto Superiore di Sanità, Rome, Italy. In the visualization we see estimates of the share of women that will die from maternal causes in their lifetime, for the country averages. Source: Estimates developed by the UN Inter-agency Group for Child Mortality Estimation (UNICEF, WHO, World Bank, UN DESA Population Division) at www.… Details on the three main causes of death are shown in (Table 2). Download the “First ItOSS report.Maternal mortality surveillance” (pdf 2.8 Mb, in Italian) and the corrigenda (pdf 149 kb, in Italian), which update the list of experts of the Committee for Confidential Enquiries of region Tuscany, and the list of coordinators of birth facilities and the clinical risk network of region Tuscany. Predominance of direct deaths a feasibility study death of a woman while is... As direct or indirect and according to the region where the death occurred, regardless of the last 's! Grandone E, Colaizzo D, Mastroianno M, Kauppila R, Nichols E, Colaizzo D Mastroianno. 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