[MATERNAL MORTALITY CASES IN ISRAEL AND IN COMPARISON WITH DEVELOPED COUNTRIES].

Harefuah Pub Date : 2025-06-01
Marina Pekar Zlotin, Anat Alufi Naim, Yifat Wiener, Moshe Betser, Yaakov Melcer, Ron Maymon
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Abstract

Introduction: Maternal mortality during pregnancy and childbirth is a key indicator of the quality of healthcare and is crucial for setting healthcare goals. In recent years, there has been a reported trend of decreasing maternal mortality rates worldwide.

Aims: The current study aims to examine obstetrical and non-obstetrical causes associated with maternal mortality in Israel.

Methods: This retrospective cohort study examines maternal mortality cases in Israel from 2015 to 2022, using records obtained from Ministry of Health data and Society of Maternal-Fetal Medicine publications. We compared these findings to data from developed countries as reported by the WHO.

Results: Between the years 2015 and 2022, a maternal mortality rate of 2.6 per 100,000 births was reported in Israel, with 27 women dying during pregnancy, labor and puerperium. The average age at the time of death was 33 years. Most deaths (88.2%) occurred <24 weeks of gestation, 66.7% around labor. Overall, 92% of deaths were among healthy women with no prior known risk factors.

Conclusions: Our analysis found that most maternal deaths in Israel occurred in women without underlying medical conditions, making it difficult to link medical history to the cause of death.

Discussion: Increasing awareness, regularly conducting extreme scenario drills, and discussing cases nationally may help reduce maternal mortality. The majority of cases of maternal death in our study occurred among healthy women, and most deaths occurred in the second trimester and through labor. No predictive factors were identified, highlighting the need to increase awareness and enhance healthcare team training to reduce mortality rates.

[以色列的产妇死亡率以及与发达国家的比较]。
导言:怀孕和分娩期间的孕产妇死亡率是保健质量的一个关键指标,对制定保健目标至关重要。近年来,据报道,全世界孕产妇死亡率呈下降趋势。目的:目前的研究旨在检查与以色列孕产妇死亡率相关的产科和非产科原因。方法:这项回顾性队列研究调查了以色列2015年至2022年的孕产妇死亡病例,使用了卫生部数据和母胎医学学会出版物的记录。我们将这些发现与世界卫生组织报告的发达国家的数据进行了比较。结果:2015年至2022年期间,以色列报告的产妇死亡率为每10万例分娩中有2.6例死亡,其中27名妇女在怀孕、分娩和产褥期死亡。死亡时的平均年龄为33岁。结论:我们的分析发现,以色列大多数孕产妇死亡发生在没有基础医疗条件的妇女身上,因此很难将病史与死亡原因联系起来。讨论:提高认识,定期进行极端情景演练,并在全国范围内讨论病例,可能有助于降低孕产妇死亡率。在我们的研究中,大多数孕产妇死亡病例发生在健康妇女中,大多数死亡发生在妊娠中期和分娩过程中。没有发现任何预测因素,突出表明需要提高认识并加强保健团队培训,以降低死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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