6.-March-2011-Saving-Mothers-Lives-reviewing-maternal-deaths-to-make-motherhood-safer-2006-2008

Lewis2.50Rate per 100 000 maternities2.001.501.000.500.00Cardiac diseaseOther indirectcausesIndirectneurologicalconditionsSepsisPre-eclampsia andeclampsiaThrombosis andthromboembolismAmniotic fluidembolismPsychiatric causesEarly pregnancydeathsHaemorrhageAnaesthesiaOther directIndirectmalignanciesFigure 1.4. Leading causes of maternal death per 100 000 maternities; UK: 2006–08. Other Indirect causes of death are separated into neurologicaland others, and Other Direct includes fatty liver and a direct cancer.Table 1.6. Maternal deaths by type of antenatal care; UK: 2006–08Direct Indirect Direct andIndirectCoincidental Late Direct All deathsn n n % n n n %Type of antenatal careTeam-based or ‘shared’ care 42 68 110 42 16 1 127 40Midwife only 27 25 52 20 12 2 66 21Consultant-led care 11 32 43 17 7 3 53 17Midwife and GP 6 4 10 4 2 1 13 4Other 2 1 3 1 1 0 4 1Private 0 1 1 0 0 0 1 0No antenatal care 18 23 41 16 12 2 55 17Not known 1 0 1 0 0 1Total 107 154 261 100 50 9 320 100Reason for no antenatal careDeath before booking or after miscarriage or TOP 11 16 27 11 7 0 34 11Concealed pregnancy 4 2 6 2 1 1 8 3Not known 3 5 8 4 1 13Total 18 23 41 12 2 55AttendanceRegular 73 109 182 71 28 6 216 68Missed 1–3 9 11 20 8 4 0 24 8Missed 4 or more 5 10 15 6 5 1 21 7Not known 1 1 2 1 0 3Total 88 131 219 38 7 264Gestation at booking