Maternal mortality and serious maternal morbidity in Jehovah's witnesses in the Netherlands

被引：40

作者：

Van Wolfswinkel, M. E. ^{[1
]}

Zwart, J. J. ^{[1
]}

Schutte, J. M. ^{[2
]}

Duvekot, J. J. ^{[3
]}

Pel, M. ^{[4
]}

Van Roosmalen, J. ^{[1
,5
]}

机构：

[1] Leiden Univ, Dept Obstet, Med Ctr, Leiden, Netherlands

[2] Univ Groningen, Univ Med Ctr Groningen, Dept Obstet & Gynecol, NL-9713 AV Groningen, Netherlands

[3] Univ Med Ctr Rotterdam, Erasmus Med Ctr, Dept Obstet & Gynecol, Div Obstet & Prenatal Med, Rotterdam, Netherlands

[4] Univ Amsterdam, Acad Med Ctr, Dept Obstet & Gynecol, NL-1105 AZ Amsterdam, Netherlands

[5] Vrije Univ Amsterdam Med Ctr, Sect Hlth Care & Culture, Amsterdam, Netherlands

来源：

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2009年 / 116卷 / 08期

关键词：

Jehovah's witnesses; maternal morbidity; maternal mortality; obstetric haemorrhage; BLOOD;

D O I：

10.1111/j.1471-0528.2009.02191.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

To determine the risk of maternal mortality and serious maternal morbidity because of major obstetric haemorrhage in Jehovah's witnesses in the Netherlands. A retrospective study of case notes. All tertiary care centres, general teaching hospitals and other general hospitals in the Netherlands. All cases of maternal mortality in the Netherlands between 1983 and 2006 and all cases of serious maternal morbidity in the Netherlands between 2004 and 2006. Study of case notes using two different nationwide enquiries over two different time periods. Maternal mortality ratio (MMR) and risk of serious maternal mortality. The MMR for Jehovah's witnesses was 68 per 100 000 live births. We found a risk of 14 per 1000 for Jehovah's witnesses to experience serious maternal morbidity because of obstetric haemorrhage while the risk for the total pregnant population was 4.5 per 1000. Women who are Jehovah's witnesses are at a six times increased risk for maternal death, at a 130 times increased risk for maternal death because of major obstetric haemorrhage and at a 3.1 times increased risk for serious maternal morbidity because of obstetric haemorrhage, compared to the general Dutch population.

引用

页码：1103 / 1110

页数：8

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