Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

48 Maternal Intensive Care in Belgium KCE Reports 94
The data in the report (2007) from the College of Physicians for Mother and Newborn
estimates the IUT rate in Belgium 0.9% and the neonatal transfers at 0.28% (total
1.18%).
F. Maternal mortality
Fortunately, maternal mortality 45 is a very rare phenomenon in our regions. As we have
two years of deliveries available for analysis, we used both years to analyze maternal
mortality.
Among the 198,502 women available for analysis in the database, 26 women died during
the period 2003 and 2004. From these 26 deaths, 12 deaths were maternal deaths
(deaths within 42 days post-partum) and 14 late maternal deaths (deaths from direct or
indirect causes that occur more than 42 days but less than a year following delivery)
according to ICD-10 definitions of maternal deaths. One woman died during pregnancy,
7 women during the in-patient stay of the delivery, 1 died within 1 month of delivery
and 3 within 2 months of delivery (no data on exact date due to privacy-reasons). The
cause of mortality is not known for women that died outside the hospital, we only
know the diagnostic attributed to the in-patient stays.
The incidence is measured on the 198.502 women from the cohort. Theoretically, the
women who delivered in the last six weeks of the study period may have died after the
study period and are, thus, not included in the numbers. This could have lead to a slight
underestimation of the incidence. Although unlikely to be of clinical significance
(incidence is very low), it must be mentioned.
In total we thus registered 9 to 12 maternal deaths over the two years, accounting for a
maternal death rate of 4.5 to 6.0 /100,000.
G. Neonates
Between 01/10/2003 and 30/09/2004, a total of 98,240 neonates were born from the
mothers with merged data.
The specific information about the location of the birth indicates that 2% (N= 1,976) of
the neonates were transferred from another hospital and 94 were transferred from
ambulatory care. It is important to note that most of the newborn babies transferred to
NIC units in another hospitals figure in the database of unmerged stays. (Figures can be
find in annex).
A total of 4,174 (4.3%) neonates were admitted to a NIC-service and 17,068 (17.4%) to
an N*-service. In total more than 20% of the neonates were admitted to either a NICunit
or N*-service. It is interesting to note that in the FPS questionnaire, 81 (65%)
hospital declare that the phototherapy is realized in the N*-service. This could partially
explain the high neonatal admission rate.
45 A maternal death is defined as the death of a woman while pregnant or within 42 days of termination of
pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated
by the pregnancy or its management but not from accidental or incidental causes (WHO, 2000).