Proposals for improving maternal safety (2023 edition): Insights from the analysis of maternal deaths in Japan

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynaecology Research Pub Date : 2025-03-11 DOI:10.1111/jog.16244
Japan Maternal Death Exploratory Committee
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Abstract

The maternal mortality rate remains approximately 4 per 100 000 deliveries. Between January 2010 and July 2024, 629 maternal deaths were reported, of which 590 were reviewed. The Maternal Safety Proposal summarizes these cases. Deaths from obstetric hemorrhage decreased from 28% in 2010 to 7% in 2019 but rose to approximately 20% in 2022 and dropped to 10% in 2023. In the past 4 years, suicide has surpassed obstetric hemorrhage as a leading cause of death. In 2023, intracranial hemorrhage/infarction became the leading cause, with six cases reported. Cardiopulmonary collapse from amniotic fluid embolism, along with cardiovascular, infectious, and pulmonary diseases, has remained stable at 6%–10%. Initial symptoms leading to death occurred during the antepartum (38%), intrapartum (41%), or postpartum periods (21%), with cases distributed across general hospitals, small maternity delivery facilities, and non-medical settings, including homes. The following are the year's maternal safety proposals:

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产妇死亡率仍保持在每 10 万次分娩约 4 例死亡的水平。2010 年 1 月至 2024 年 7 月期间,共报告了 629 例孕产妇死亡病例,其中 590 例已接受审查。孕产妇安全提案》总结了这些案例。产科出血导致的死亡从 2010 年的 28% 降至 2019 年的 7%,但在 2022 年上升至约 20%,在 2023 年又降至 10%。在过去 4 年中,自杀已超过产科出血成为主要死因。2023 年,颅内出血/梗死成为主要死因,报告了 6 例。羊水栓塞导致的心肺衰竭,以及心血管、感染和肺部疾病,一直稳定在 6%-10%。导致死亡的最初症状发生在产前(38%)、产中(41%)或产后(21%),病例分布在综合医院、小型产院和非医疗机构,包括家庭。以下是今年的孕产妇安全提案:
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
376
审稿时长
3-6 weeks
期刊介绍: The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.
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