[How did the maternal mortality in the state of Hamburg decrease from 1973-1977? (author's transl)].
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Biomedical subjects
Publications and source records attributed to G Keding.
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In connection with the analysis of individual cases of maternal deaths undertaken in Hamburg since 1953, the cases of infantile mortality between 1968 and 1972 were collected and investigated according to the type of event. The deaths are listed according to age and in 2 weight groups with a limiting value of 2500 g. For comparison, the frequency of premature births to all births of the period is presented. The collective of dead infants has been examined according to the age of the mother and the family circumstances into which the child was born. The maternal deaths, stillbirths and infantile deaths should be considered epidemiologically as a unit, the analysis of individual deaths being seen as a starting point for elucidating the entire field of relationship.
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This is the fourth review on the maternal mortality and obstetrics in the federal state of Hamburg comprising, this time, the years 1968 to 1972. 70 cases of maternal mortality are described classified, and discussed. All cases of maternal death with a temporal relationship to pregnancy, labour and delivery and puerperium were analyzed individually. There were 70 maternal deaths in 113, 564 deliveries. 10 or 8.8/100,000 cases were due to embolism. 1 or 0.9/100,000 cases were due to amniotic fluid embolism. 10 or 8.8/100,000 cases were due to infection. 9 or 7.9/100,000 cases were due to hemorrhage. 8 or 7.0/100,000 cases were due to toxemia of pregnancy. 5 or 4.4/100,000 cases were due to criminal abortions. 1 or 0.9/100,000 cases were due to chorio-carcinoma and 26 or 23/100,000 cases were due to non-obstetric causes. Our experience over many years shows that maternal mortality, stillbirth and death during the first year of life should be considered an epidemiologic entity.
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