[Maternal mortality by stroke in France 2016-2018]. / Mortalité maternelle par accident vasculaire cérébral en France 20162018.
Gynecol Obstet Fertil Senol
; 52(4): 259-262, 2024 Apr.
Article
en Fr
| MEDLINE
| ID: mdl-38373489
ABSTRACT
Between 2016 and 2018, twenty maternal deaths were associated with a stroke. The 20 deaths whose main cause was stroke represent 7.4% of all maternal deaths, i.e. a maternal mortality ratio (MMR) of 0.9 per 100,000 live births (95%CI 0.6-1.3). Among the 20 stroke deaths, it was hemorrhagic in 17 cases (85%), ischemic in 2 cases, and due to thrombophlebitis in 1 case. Stroke occurred during pregnancy in 8 women (40%) - one case before 12 weeks, 3 cases between 28 and 32 weeks, and 4 cases between 34 and 40 weeks; in 3 cases the stroke occurred intrapartum, and for the other 9 cases (45%) the stroke occurred postpartum between Day 1 and Day 15. Care was assessed as non-optimal in 10/19 (56%) of cases but mortality as possibly avoidable in 24% of cases (4/17 cases with conclusion established by the CNEMM) and not established in two cases. The potentially improvable elements identified were a delay in carrying out initial brain imaging in three cases (one case antepartum, two cases postpartum) and insufficient hemodynamic monitoring in intensive care in one case.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Accidente Cerebrovascular
/
Muerte Materna
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Europa
Idioma:
Fr
Revista:
Gynecol Obstet Fertil Senol
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Francia