18.     Confidential Enquiry into Maternal Death.

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MCQ Paper 5

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This question and answer are in the process of being updated to include the data from the 2006-8 Reprort.

a. The report is triennial, commissioned by NICE and conducted by CEMACH.  
b. The most recent report was published in 2004 and covered the years 2000 - 2003.  
c.  “Direct” deaths are those in which the main cause of death was substandard care.  
d.  “Fortuitous” deaths are those in which the husband has recently insured her life for large amounts.  
e. The maternal mortality rate is the number of deaths after 24 weeks gestation per 100,000 live births.  
f. The most recent maternal mortality rate was 13.1 per 100,000.  
g. Maternal mortality for sub-Saharan Africa was reckoned to be 920 deaths per 100,000 live births in the year 2000.  
h. Hypertensive disease (including eclampsia & HELLP) was the commonest direct cause of death.  
i. deaths attributed to anaesthesia were lower in number than in previous reports.  
j. deaths attributed to anaesthesia were all in patients having general anaesthesia.  
k. Substandard care was found in 34% of direct and indirect deaths.  
l. The recent report highlighted social disadvantage, poverty, obesity, late booking and poor antenatal attendance as significant risk factors for maternal death.  
m. Deaths from suicide were mainly by drug overdose in young women from ethnic minorities.  

 

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