Confidential enquiry into maternal deaths in The Netherlands 1983-1992

Eur J Obstet Gynecol Reprod Biol. 1998 Jul;79(1):57-62. doi: 10.1016/s0301-2115(98)00053-0.


Objective: To determine the causes of maternal death in The Netherlands.

Study design: Nationwide Confidential Enquiry into the Causes of Maternal Deaths during the period 1983-1992.

Results: Of 192 direct and indirect maternal deaths, 154 (80%) were available for the Enquiry. The most frequent direct causes were (pre-)eclampsia, thrombo-embolism, obstetrical haemorrhage and sepsis. Cerebro- and cardiovascular disorders were the most frequent indirect causes of death. Age above 35 years and parity 3 or more are related to higher maternal mortality. Women from non-caucasian origin are more prone to death in comparison to caucasian women. Autopsy was performed in 88 cases (57%). Of the 24 women where labour started at home, the place of birth played a significant role in delay in four.

Conclusions: More efforts should be made to have a higher percentage than 80% available for the Confidential Enquiry as in the UK where only 1-4% of deaths are not available for similar purposes. Also, the autopsy rate of 57% is much lower than in the UK (82%). Special strategies should be developed to improve maternal health of populations at higher risk such as women of high age and parity and immigrant populations.

MeSH terms

  • Adolescent
  • Adult
  • Cause of Death*
  • Confidentiality*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Maternal Age
  • Maternal Mortality*
  • Middle Aged
  • Netherlands / epidemiology
  • Pregnancy
  • Pregnancy, High-Risk
  • Surveys and Questionnaires