Show simple item record Rigó, János Csákány M., György Laky, Marcella Nagy, Bálint Horváth, Endre Joó, József Gábor 2016-06-19T11:10:18Z 2016-06-19T11:10:18Z 2014
dc.identifier 84893668945
dc.identifier.citation pagination=29-33; journalVolume=173; journalTitle=EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY;
dc.identifier.uri doi:10.1016/j.ejogrb.2013.11.004
dc.description.abstract AbstractObjective We evaluated the trends of the last decades in maternal mortality in Hungary and compared Hungarian results with those of other European countries. Study design: Cases of maternal death in Hungary during the study period from calendar year 1978 to 2010 were analyzed in a retrospective manner to characterize mortality distribution and to identify potential clinical or demographic predictors. Data in all cases were extracted both from the national Obstetric Registry operated by the National Institute of Gynecology and Obstetrics, from the Hungarian Central Bureau of Statistics and from the National Public Health and Medical Officer Service. Detailed clinical data were obtained based on obligatory reporting by individual clinical institutions. Results The annual maternal mortality rate (MMR) was 26.7 per 100,000 live births in the period 1978-1987 and declined significantly to 10.9 per 100,000 live births in the period 1997-2010. In the period 1988-1996 (with missing associated clinical and demographic data) the MMR was 16.4 per 100000 live births. The proportion of delivery-associated causes of death increased significantly between the two study periods from 49.4% to 62.9% (p < 0.05). Among obstetric causes of death, the rate of thromboembolism showed a significant increase, while there was a trend toward a decline in rate of maternal deaths attributable to hemorrhagic shock. Among medical causes of death not directly attributable to obstetric complications, the rate of renal and gastrointestinal etiologies declined significantly throughout the study periods. Conclusions We observed a marked decline in maternal mortality during the last few decades in Hungary. Recent changes in mortality distribution highlight current characteristics of pregnancy care in Hungary and may help identify strategies for future improvement.
dc.relation.ispartof urn:issn:0301-2115
dc.title Trends in maternal mortality in Hungary between 1978 and 2010
dc.type Journal Article 2016-06-19T11:09:27Z
dc.language.rfc3066 en
dc.identifier.mtmt 2453483
dc.identifier.wos 000331509200006
dc.identifier.pubmed 24275231
dc.contributor.department SE/AOK/K/I. Sz. Szülészeti és Nőgyógyászati Klinika
dc.contributor.institution Semmelweis Egyetem

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