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Current status of pregnancy-related maternal mortality in Japan: a report from the Maternal Death Exploratory Committee in Japan

BMJ open, 2016-03, Vol.6 (3), p.e010304-e010304 [Peer Reviewed Journal]

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016 ;ISSN: 2044-6055 ;EISSN: 2044-6055 ;DOI: 10.1136/bmjopen-2015-010304 ;PMID: 27000786

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Title:
Current status of pregnancy-related maternal mortality in Japan: a report from the Maternal Death Exploratory Committee in Japan
Author: Hasegawa, Junichi ; Sekizawa, Akihiko ; Tanaka, Hiroaki ; Katsuragi, Shinji ; Osato, Kazuhiro ; Murakoshi, Takeshi ; Nakata, Masahiko ; Nakamura, Masamitsu ; Yoshimatsu, Jun ; Sadahiro, Tomohito ; Kanayama, Naohiro ; Ishiwata, Isamu ; Kinoshita, Katsuyuki ; Ikeda, Tomoaki
Subjects: Accidental deaths ; Adult ; Blood transfusions ; Brain diseases ; Brain Diseases - epidemiology ; Caregivers ; Cause of Death ; Committees ; Delivery, Obstetric - statistics & numerical data ; Disease prevention ; Embolism, Amniotic Fluid - epidemiology ; Embolisms ; Female ; Hemorrhage - epidemiology ; Hospitals ; Humans ; Japan ; Maternal Death - etiology ; Maternal Death - prevention & control ; Maternal mortality ; Maternal Mortality - trends ; Obstetrics ; Obstetrics and Gynaecology ; Postnatal Care - standards ; Pregnancy ; Pregnancy Complications ; Prenatal Care - standards ; Primary care ; Public assistance programs ; Vital signs ; Womens health ; Young Adult
Is Part Of: BMJ open, 2016-03, Vol.6 (3), p.e010304-e010304
Description: ObjectiveTo clarify the problems related to maternal deaths in Japan, including the diseases themselves, causes, treatments and the hospital or regional systems.DesignDescriptive study.SettingMaternal death registration system established by the Japan Association of Obstetricians and Gynecologists (JAOG).ParticipantsWomen who died during pregnancy or within a year after delivery, from 2010 to 2014, throughout Japan (N=213).Main outcome measuresThe preventability and problems in each maternal death.ResultsMaternal deaths were frequently caused by obstetric haemorrhage (23%), brain disease (16%), amniotic fluid embolism (12%), cardiovascular disease (8%) and pulmonary disease (8%). The Committee considered that it was impossible to prevent death in 51% of the cases, whereas they considered prevention in 26%, 15% and 7% of the cases to be slightly, moderately and highly possible, respectively. It was difficult to prevent maternal deaths due to amniotic fluid embolism and brain disease. In contrast, half of the deaths due to obstetric haemorrhage were considered preventable, because the peak duration between the initial symptoms and initial cardiopulmonary arrest was 1–3 h.ConclusionsA range of measures, including individual education and the construction of good relationships among regional hospitals, should be established in the near future, to improve primary care for patients with maternal haemorrhage and to save the lives of mothers in Japan.
Publisher: England: BMJ Publishing Group LTD
Language: English
Identifier: ISSN: 2044-6055
EISSN: 2044-6055
DOI: 10.1136/bmjopen-2015-010304
PMID: 27000786
Source: ProQuest One Psychology
BMJ Open Access Journals
Geneva Foundation Free Medical Journals at publisher websites
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Current status of pregnancy-related maternal mortality in Japan: a report from the Maternal Death Exploratory Committee in Japan

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