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Maternal deaths report expected in December

30 Mar 2017

The annual report of the Confidential Enquiry into Maternal Deaths in UK & Ireland is to be launched at the MBRRACE-UK Scientific Meeting in the RCPI later this year, Irish Medical Times has learned.

RCPI Members of the Institute of Obstetricians and Gynaecologists (IoG) are currently being asked to save the date for an MBRRACE-UK Scientific Meeting to be held in Kildare Street on December 11.

The 2017 Annual Report of the Confidential Enquiry into Maternal Deaths in UK & Ireland will then be jointly launched by MBRRACE-UK and Maternal Death Enquiry (MDE) Ireland, which was established in 2009 with the support of the IoG, the HSE, the Department of Health and the State Claims Agency.

Last year’s ‘Confidential Enquiry into Maternal Deaths 2016: Saving Lives, Improving Mothers’ Care’ included surveillance of maternal deaths from 2012 to 2014 and confidential enquiries covering the period 2009-14. It also included reviews into the care of women who died during or after pregnancy in Ireland and the UK.

For the years 2012-2014, a total of 22 maternal deaths, occurring during or within 42 days of pregnancy end, were identified by MDE Ireland. Of these deaths, 20 were classified as direct or indirect maternal deaths among 204,999 maternities, giving a maternal mortality rate (MMR) of 9.8 per 100,000 maternities. A further two maternal deaths were attributed to coincidental causes. For the triennium 2012-2014, the Irish MMR was 9.8 per 100,000 maternities and the UK MMR was 8.54 per 100,000 maternities — not a statistically significant difference in MMR between the two countries.

Seven late maternal deaths were reported to MDE Ireland in the triennium 2012-2014. The causes of death were: psychiatric causes (four cases), thromboembolism (one) and two cases of malignant disease that were classified as coincidental to the pregnancy.

Similar to the UK, cardiac disease remained the single most common cause of maternal death in Ireland. However, with the introduction of the ICD-MM classification system, suicide was the most common cause of direct maternal death for the triennium 2012-2014.

lloyd.mudiwa@imt.ie

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