Trends in Maternal Mortality From Obstetric Hemorrhage in France: 15 Years of Confidential Enquiry Into Maternal Deaths
Authors' conclusion
Maternal mortality by obstetric hemorrhage decreased dramatically in France between 2001 and 2015, particularly mortality due to uterine atony. Among women who died, we detected fewer instances of substandard transfusion management or critical care.
Study context
- Population
- Hemorrhage-related maternal deaths in France, 2001–2015, French Confidential Enquiry into Maternal Deaths
- Participants
- 19 vs 54
- Exposure
- 2013 to 2015 vs 2001 to 2003
- 2013 to 2015n = 19
- 2001 to 2003n = 54reference
- Outcome
- MMR from obstetric hemorrhage
Methodological detailsdescriptive trend study, comparison by triennium
- Descriptive trend study
- Comparison by triennium
Main finding
As reported in the abstract
MMR from obstetric hemorrhage (per 100,000 livebirths)
| Group | Value | Livebirths |
|---|---|---|
| 2001 to 2003 | 2.3 of 100,000 livebirths | 2,391,551 |
| 2013 to 2015 | 0.8 of 100,000 livebirths | 2,412,720 |
Value
2001 to 20032.3 of 100,000 livebirths
2013 to 20150.8 of 100,000 livebirths
Livebirths
2001 to 20032,391,551
2013 to 20152,412,720
Observational data: associations, not effects.
Further findings
Maternal deaths due to uterine atony
Hemodynamic continuous monitoring among women who died
Vasopressor infusion therapy among women who died
Time to transfusion therapy initiation
| Outcome | 2001 to 2003 | 2013 to 2015 |
|---|---|---|
| Extubated during active hemorrhage | 17% | 0 events |
| Preventable maternal deaths due to hemorrhage · 2013 to 2015 | — not stated in the abstract | 88% |
— not stated in the abstract
- Hemodynamic continuous monitoring among women who died: denominators 30 and 18
- Vasopressor infusion therapy among women who died: denominators 30 and 18
- Extubated during active hemorrhage: denominators 30 and 18
Time to transfusion therapy initiation
- Transfusion therapy initiated more frequently and earlier in 2013 to 2015
Preventable maternal deaths due to hemorrhage · 2013 to 2015
- Main improvable care factors: delays in diagnosis and surgical management, particularly after cesarean delivery
Original publication
Trends in Maternal Mortality From Obstetric Hemorrhage in France: 15 Years of Confidential Enquiry Into Maternal Deaths. Anesth Analg. Published 23 May 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →