Objective To describe the incidence of three conditions of acute severe maternal morbidity in selected regions
in nine European countries.
Design A population-based questionnaire survey.
Setting Eleven regions in nine countries of Europe.
Population All the pregnant women in each region who had delivered during the period covered by the study.
Methods Standard definitions of three severe obstetric conditions, pre-eclampsia, postpartum haemorrhage and
sepsis were established by a steering committee. A common questionnaire was used in each participating
country. The incidence of the three obstetric conditions and characteristics of the study women were compared.
Main outcome measures Incidence of three severe obstetric conditions: pre-eclampsia, postpartum haemorrhage
and sepsis.
Results The study identified 1734 women with at least one of the three conditions, with 847 experiencing
severe haemorrhage, 793 experiencing severe pre-eclampsia and 142 experiencing severe sepsis. There were
wide variations in incidence of three conditions combined, ranging from 14.7 per thousand deliveries in
Brussels, Belgium to 6.0 per thousand deliveries in Upper Austria.
Conclusions This study sets a simple and straightforward approach to the definition of three severe obstetric
conditions and allows population-based comparisons between developed countries in Europe, even though
difficulties may have been present with applying the definition across countries. The reported incidence of
these severe obstetric conditions in general and severe haemorrhage varied significantly between countries.
Overall, severe haemorrhage in particular was the most common of the three conditions, followed closely by
severe pre-eclampsia.
Objective To describe the incidence of three conditions of acute severe maternal morbidity in selected regionsin nine European countries.Design A population-based questionnaire survey.Setting Eleven regions in nine countries of Europe.Population All the pregnant women in each region who had delivered during the period covered by the study.Methods Standard definitions of three severe obstetric conditions, pre-eclampsia, postpartum haemorrhage andsepsis were established by a steering committee. A common questionnaire was used in each participatingcountry. The incidence of the three obstetric conditions and characteristics of the study women were compared.Main outcome measures Incidence of three severe obstetric conditions: pre-eclampsia, postpartum haemorrhageand sepsis.Results The study identified 1734 women with at least one of the three conditions, with 847 experiencingsevere haemorrhage, 793 experiencing severe pre-eclampsia and 142 experiencing severe sepsis. There werewide variations in incidence of three conditions combined, ranging from 14.7 per thousand deliveries inBrussels, Belgium to 6.0 per thousand deliveries in Upper Austria.Conclusions This study sets a simple and straightforward approach to the definition of three severe obstetricconditions and allows population-based comparisons between developed countries in Europe, even thoughdifficulties may have been present with applying the definition across countries. The reported incidence ofthese severe obstetric conditions in general and severe haemorrhage varied significantly between countries.Overall, severe haemorrhage in particular was the most common of the three conditions, followed closely bysevere pre-eclampsia.
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