Saving mothers' lives : reviewing maternal deaths to make motherhood safer: 2006-2008. (Record no. 18780)

MARC details
000 -LEADER
fixed length control field 02277cam a2200169 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 140113n2011 000 0 eng u
035 ## - SYSTEM CONTROL NUMBER
System control number (Sirsi) a63765
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Centre for Maternal and Child Enquiries
245 ## - TITLE STATEMENT
Title Saving mothers' lives : reviewing maternal deaths to make motherhood safer: 2006-2008.
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc. London :
Name of publisher, distributor, etc. CMACE,
Date of publication, distribution, etc. 2011
340 ## - PHYSICAL MEDIUM
Material base and configuration Website
500 ## - GENERAL NOTE
General note The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom
520 ## - SUMMARY, ETC.
Summary, etc. In the triennium 2006-2008, 261 women in the UK died directly or indirectly related to pregnancy. The overall maternal mortality rate was 11.39 per 100,000 maternities. Direct deaths decreased from 6.24 per 100,000 maternities in 2003-2005 to 4.67 per 100,000 maternities in 2006-2008 (p = 0.02). This decline is predominantly due to the reduction in deaths from thromboembolism and, to a lesser extent, haemorrhage. For the first time there has been a reduction in the inequalities gap, with a significant decrease in maternal mortality rates among those living in the most deprived areas and those in the lowest socio-economic group. Despite a decline in the overall UK maternal mortality rate, there has been an increase in deaths related to genital tract sepsis, particularly from community acquired Group A streptococcal disease. The mortality rate related to sepsis increased from 0.85 deaths per 100,000 maternities in 2003-2005 to 1.13 deaths in 2006-2008, and sepsis is now the most common cause of Direct maternal death. Cardiac disease is the most common cause of Indirect death; the Indirect maternal mortality rate has not changed significantly since 2003-2005. This Confidential Enquiry identified substandard care in 70% of Direct deaths and 55% of Indirect deaths. Many of the identified avoidable factors remain the same as those identified in previous Enquiries. Recommendations for improving care have been developed and are highlighted in this report. Implementing the Top ten recommendations should be prioritised in order to ensure the overall UK maternal mortality rate continues to decline.
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element Maternal mortality
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2010.02847.x/pdf">http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2010.02847.x/pdf</a>
Public note Click here for electronic access
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Suppress in OPAC Do not Suppress in OPAC
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Copy number Price effective from Koha item type
    National Library of Medicine     Lewisham and Greenwich NHS Trust Library Lewisham and Greenwich NHS Trust Library On website 13/01/2014   WQ 16 63765-1001 27/03/2015 1 27/03/2015 Electronic book
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