6.-March-2011-Saving-Mothers-Lives-reviewing-maternal-deaths-to-make-motherhood-safer-2006-2008
6.-March-2011-Saving-Mothers-Lives-reviewing-maternal-deaths-to-make-motherhood-safer-2006-2008
6.-March-2011-Saving-Mothers-Lives-reviewing-maternal-deaths-to-make-motherhood-safer-2006-2008
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LewisTable 1.23. Direct and Indirect <strong>deaths</strong>, rates per 100 000 maternities and relative risks by quintile of place of residence of the Index of MultipleDeprivation 2004; England: <strong>2006</strong>–08Deprivation quintile n Rate 95% CI Relative risk 95% CI Number of maternitiesDirectLeast 17 5.48 3.41–8.82 310 0032 14 4.40 2.60–7.42 0.80 0.40–1.63 318 4653 15 4.24 2.56–7.03 0.77 0.39–1.55 353 8174 18 4.26 2.68–<strong>6.</strong>76 0.78 0.40–1.51 422 393Most 26 4.82 3.28–7.08 0.88 0.48–1.62 539 121All Direct 90 4.63 3.77–5.69 1 943 799IndirectLeast 12 3.87 2.20–<strong>6.</strong>82 310 0032 12 3.77 2.14–<strong>6.</strong>64 0.97 0.44–2.17 318 4653 24 <strong>6.</strong>78 4.55–10.12 1.75 0.88–3.50 353 8174 27 <strong>6.</strong>39 4.38–9.32 1.65 0.84–3.26 422 393Most 59 10.94 8.48–14.12 2.83 1.52–5.26 539 121All Indirect 134 <strong>6.</strong>89 5.82–8.17 1 943 799Direct and IndirectLeast 29 9.35 <strong>6.</strong>50–13.46 310 0032 26 8.16 5.56–11.99 0.87 0.51–1.48 318 4653 39 11.02 8.05–15.09 1.18 0.73–1.91 353 8174 45 10.65 7.95–14.27 1.14 0.71–1.82 422 393Most 85 15.77 12.75–19.50 1.69 1.11–2.57 539 121All 224 11.52 10.11–13.14 1 943 79935302003–05<strong>2006</strong>–08Rate per 100 000 maternities2520151050Test for trend for 2003–05: P < 0.001Test for trend for <strong>2006</strong>–08: P = 0.002Least deprived 2 3 4 Most deprivedQuintile of the index of multiple deprivation 2004Figure 1.9. Direct and Indirect <strong>maternal</strong> mortality rates and 95% CI by deprivation quintile of place of residence; England: 2003–08.attendance might be the result of fear that their unbornchild might be removed at birth.Substance misuseFifty-three of all the women whose <strong>deaths</strong> were assessedthis triennium, including from Coincidental and Latecauses, had problems with substance misuse. Of these, 31were known drug addicts, 16 were noted <strong>to</strong> be occasionalusers and an additional six women were solely alcoholdependent. Ten women were both drug and alcohol dependent.As shown in Table 1.25, the majority of these womenfound it difficult <strong>to</strong> maintain contact with maternity ser-52 ª <strong>2011</strong> Centre for Maternal and Child Enquiries (CMACE), BJOG 118 (Suppl. 1), 1–203
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