Maternal Mortality Stage 1

Completed June 2013

Stage 1a

Maternal deaths in Australia 2006-2010 report

The overall aim of this study was to develop a nationally consistent reporting system to validate existing confidential maternal death enquiries, and to use observational study to improve antenatal and obstetric care. Specifically this study:

  1. Developed a nationally consistent reporting system for maternal deaths which included the introduction of a nationally standardised maternal death reporting form.
  2. Collated maternal mortality data for the period 1 January 2006 to 31 December 2010 from State and Territory Maternal Mortality Committees.
  3. Developed national standards for the classification of maternal deaths and nationally reviewed all maternal death classifications in collaboration with the relevant State and Territory Maternal Mortality Committees.
  4. Provided an epidemiological overview of maternal deaths in Australia in the Maternal Deaths in Australia 2006-2010 report.
  5. Identified and described categories of potentially preventable maternal deaths that provided information for policy development.
  6. Provided statistical information and education to assist practitioners to; (a) Reduce maternal mortality and, (b) Counsel women who are contemplating pregnancy.

Stage 1b

National data linkage study of maternal and late maternal deaths 1999-2009

The aim of the national data linkage study of maternal and late maternal death was to ascertain the number of maternal and late maternal deaths in Australia, to investigate risk, pregnancy and birth factors associated with a maternal and late maternal death.

The overall aim of this study is to test the proposition that maternal deaths are under-ascertained in Australia. Our focus is the limitations of current reporting mechanisms and the absence of routine reporting of late maternal deaths. 

Specifically, the study aimed to:

  1. Extend data linkage of perinatal data and mortality data as a method of ascertaining maternal deaths, including late maternal deaths to the whole of Australia, building upon the findings of the NSW pilot linkage study.
  2. Determine the incidence and causes of maternal deaths, including late maternal deaths in women whose pregnancies have reached 20 weeks gestation.
  3. Determine the incidence and causes of maternal deaths where a pregnancy has ended at less than 20 weeks gestation as identified by specific ICD 10, Chapter XV Obstetric codes (e.g. ectopic pregnancy).
  4. Assess the validity of current methods of ascertainment of maternal and late maternal deaths in Australia.
  5. Compare rates of specific causes of maternal mortality between women aged 15-49 years who have and have not been exposed to a pregnancy of at least 20 weeks gestation within the previous year.
  6. Identify and describe categories of potentially preventable maternal deaths to provide an evidence base for policy development.
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