Maternal mortality in the Slovak Republic in the years 2007–2018

Česká verze

Authors: Miroslav Korbeľ ¹ ; D. Kotríková ¹ ; A. Krištúfková ¹ ; P. Kaščák ² ; Z. Nižňanská ¹
Authors place of work: I. gynekologicko-pôrodnícka klinika LF UK a UN Bratislava, Slovenská republika ¹; Gynekologicko-pôrodnícka klinika UAD a FN Trenčín, Slovenská republika ²
Published in the journal: Ceska Gynekol 2022; 87(2): 87-92
Category: pôvodná práca
doi: https://doi.org/10.48095/cccg202287

Summary

Objective: Analysis of maternal mortality in the Slovak Republic in the years 2007–2018. Methods: The analysis of selected maternal mortality data in the years 2007–2018. Results: In the years 2007–2018, 84 women died during pregnancy or within 42 days of the end of pregnancy – maternal mortality ratio was 12.57 per 100,000 live births. Direct maternal mortality ratio in this period was 4.64 (31 maternal deaths), indirect maternal mortality 6.74 (45 maternal deaths) and direct obstetrics death ratio was 11.38 per 100,000 live births. Pregnancy-associated but unrelated maternal death ratio was 1.19 (eight maternal deaths). The Slovak Gynecological and Obstetric Society revealed a 64% underestimation of maternal mortality data in comparison with routine statistical data. Conclusion: Maternal mortality ratio in the Slovak Republic was one of the highest in the European Union and was discordant with a good level of perinatal mortality. In the Slovak Republic, it is necessary to look for ways to reduce maternal mortality and improve data collection.

Keywords:

maternal mortality – maternal mortality ratio – direct obstetrics deaths – indirect obstetrics deaths – pregnancy-related deaths

Zdroje

1. Korbeľ M, Borovský M, Danko J et al. Analýza materskej mortality v SR za rok 2007. Gynekol prax 2009; 7 (1): 26–29.

2. Korbeľ M, Borovský M, Danko J et al. Analýza materskej mortality v SR za rok 2008. Gynekol prax 2011; 9 (1): 29–34.

3. Korbeľ M, Borovský M, Danko J et al. Materská úmrtnosť v Slovenskej republike v rokoch 2007–2009. Bedeker zdravia 2011; Suppl: 30–31.

4. Korbeľ M, Borovský M, Danko J et al. Materská mortalita v Slovenskej republike v roku 2009 – I. (priama materská úmrtnosť). Gynekol prax 2014; 12 (1): 30–35.

5. Korbeľ M, Borovský M, Danko J et al. Materská mortalita v Slovenskej republike v roku 2009 – II. (nepriama a náhodná materská úmrtnosť). Gynekol prax 2014; 12 (1): 37–43.

6. Korbeľ M, Borovský M, Danko J et al. Materská mortalita v Slovenskej republike v rokoch 2007–2009. Gynekol prax 2014; 12 (1): 26–29.

7. Korbeľ M, Borovský M, Danko J et al. Materská mortalita v Slovenskej republike v rokoch 2010–2012. Gynekol prax 2015; 13 (4): 192–195.

8. Korbeľ M, Borovský M, Danko J et al. Materská mortalita v Slovenskej republike v roku 2010. Gynekol prax 2016; 14 (2): 73–78.

9. Korbeľ M, Krištúfková A, Nižňanská Z et al. Materská mortalita v Slovenskej republike v rokoch 2013–2015. Gynekol prax 2017; 15 (1): 46–49.

10. Korbeľ M, Krištúfková A, Nižňanská Z et al. Materská mortalita v Slovenskej republike v rokoch 2007–2016. Gynekol prax 2018; 16 (1): 27–31.

11. Korbeľ M, Krištúfková A, Daniš J et al. Materská morbidita a mortalita v Slovenskej republike v rokoch 2007–2015. Ceska Gynekol 2019; 84 (2): 129–139.

12. Korbeľ M, Kaščák P, Záhumenský J. Materská mortalita v krajinách Európskej únie v rokoch 2006–2015. Gynekol prax 2019; 17 (2): 100–103.

13. Kristufkova A, Borovsky M, Korbel M et al. Amniotic fluid embolism – investigation of fatal cases in Slovakia in the years 2005–2010 compared with fatal cases in the United Kingdom. Biomed Pap med Fac Univ Palacky Olomouc Czech Repub 2014; 158 (3): 397–403.

14. Euro-Peristat Project with SCPE and EUROCAT. European Perinatal Health Report. Health and care of pregnant women and babies in Europe in 2010. 2013 [online]. Available from: www.europeristat.com.

15. Euro-Peristat Project. European Perinatal Health Report. Core indicators of the health and care of pregnant women and babies in Europe in 2015. 2018 [online]. Available from: www.europeristat.com.

16. Statistical Office of the Slovak Republic. Maternal mortality. 2021 [online]. Available from: http: //datacube.statistics.sk/#!/view/sk/VBD_SK_WIN/om3405rr/v_om3405rr_03_01_01_en.

17. FIGO committee report. Safe matherhood. Int J Gynecol Obstet 2013; 120 (3): 312–313. doi: 10.1016/j.ijgo.2012.10.008.

18. Hogan CM, Foreman JK, Naghavi M et al. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet 2010; 375 (9726): 1609–1623. doi: 10.1016/S0140- 6736 (10) 60518-1.

19. World Health Organization, World Bank, United Nations Population Fund & United Nations Children’s Fund (UNICEF). Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and The World Bank. 2007 [online]. Available from: https: //apps.who.int/iris/ handle/10665/43807.

20. World Health Organization, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva. 2015 [online]. Available from: https: //apps.who.int/iris/bitstream/handle/10665/193994/WHO_RHR_15.23_eng.pdf.

21. World Health Organization. Strategies toward ending preventable maternal mortality (EPMM). 2015 [online]. Available from: https: //www.everywomaneverychild.org/images/EPMM_final_report_2015.pdf.

22. United Nations. Sustainable develpment goals. 2021 [online]. Available from: https: //sdgs.un.org/goals.

23. United Nations Development Program. Sustainable development goals fund. 2021 [online]. Available from: https: //www.sdgfund.org/mdgs-sdgs.

24. Moran AC, Jolivet RR, Chou D et al. A common monitoring framework for ending preventable maternal mortality, 2015–2030: phase I of a multi-step process. BMC Pregnancy Childbirth 2016; 16 (1): 250. doi: 10.1186/s12884-016-1035-4.

25. Eurostat. Birth and fertility. 2021 [online]. Available from: https: //ec.europa.eu/eurostat/ documents/2995521/7898237/3-08032017-AP-EN.pdf/b17c1516-faad-4e65-b291-187826 a7ac88.

26. Xie RH, Gaudet L, Krewski D et al. Higher cesarean delivery rates are associated with higher infant mortality rates in industrialized countries. Birth 2015; 42 (1): 62–69. doi: 10.1111/birt.12153.