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Maternal Deaths in Australia 2006-2010

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Maternal Deaths in Australia 2006-2010 Maternal deaths in Australia 2006–2010 Australia deaths in Maternal Maternal deaths in Australia 2006–2010 is the 15th report on women who die during pregnancy and childbirth. Although maternal deaths are rare in Australia, they are Maternal deaths catastrophic events when they do occur and require monitoring and investigation. The report includes information about the women, pregnancy, and cause in Australia of death as well as good practice guidance points for clinicians to inform practice improvement. 2006–2010 AIHW MATERNAL DEATH SERIES Number 4 Maternal Deaths in Australia 2006–2010 Australian Institute of Health and Welfare Canberra Cat. no. PER 61 The Australian Institute of Health and Welfare is a major national agency which provides reliable, regular and relevant information and statistics on Australia’s health and welfare. The Institute’s mission is authoritative information and statistics to promote better health and wellbeing. © Australian Institute of Health and Welfare and University of New South Wales 2014 This product, excluding the AIHW logo, Commonwealth Coat of Arms and any material owned by a third party or protected by a trademark, has been released under a Creative Commons BY 3.0 (CC-BY 3.0) licence. Excluded material owned by third parties may include, for example, design and layout, images obtained under licence from third parties and signatures. We have made all reasonable efforts to identify and label material owned by third parties. You may distribute, remix and build upon this work. However, you must attribute the AIHW as the copyright holder of the work in compliance with our attribution policy available at <www.aihw.gov.au/copyright/>. The full terms and conditions of this licence are available at <http://creativecommons.org/licenses/by/3.0/au/>. Enquiries relating to copyright should be addressed to the Head of the Digital and Media Communications Unit, Australian Institute of Health and Welfare, GPO Box 570, Canberra ACT 2601. This publication is part of the Australian Institute of Health and Welfare’s Maternal deaths series. A complete list of the Institute’s publications is available from the Institute’s website <www.aihw.gov.au>. ISSN 978-1-74249-611-5 ISBN 1449-8863 Suggested citation AIHW: Johnson S, Bonello MR, Li Z, Hilder L & Sullivan EA. 2014. Maternal deaths in Australia 2006– 2010, Maternal deaths series no. 4. Cat. no. PER 61. Canberra: AIHW. Australian Institute of Health and Welfare Board Chair Director Dr Mukesh C Haikerwal AO David Kalisch Any enquiries about or comments on this publication should be directed to: Digital and Media Communications Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601 Tel: (02) 6244 1000 Email: [email protected] Published by the Australian Institute of Health and Welfare This publication is printed in accordance with ISO 14001 (Environmental Management Systems) and ISO 9001 (Quality Management Systems). The paper is sourced from sustainably managed certified forests. Please note that there is the potential for minor revisions of data in this report. Please check the online version at <www.aihw.gov.au> for any amendments. Contents Acknowledgments............................................................................................................................... v Abbreviations ...................................................................................................................................... vi Symbols ............................................................................................................................................. viii Summary .............................................................................................................................................. ix 1 Introduction .................................................................................................................................... 1 1.1 Background to the report ........................................................................................................ 1 1.2 Purpose of this report .............................................................................................................. 3 1.3 Aims of this report ................................................................................................................... 3 2 Definitions, classifications and methods ................................................................................. 5 2.1 Definitions and classifications ................................................................................................ 5 2.2 Measuring maternal mortality ............................................................................................... 6 3 Maternal deaths in Australia 2006–2010 .................................................................................. 12 3.1 Maternal mortality ratio ........................................................................................................ 13 3.2 State and territory maternal mortality ratio ....................................................................... 15 4 Direct and indirect maternal deaths ........................................................................................ 26 4.1 Cardiac disease ....................................................................................................................... 26 4.2 Non-obstetric haemorrhage .................................................................................................. 33 4.3 Amniotic fluid embolism ...................................................................................................... 38 4.4 Thromboembolism ................................................................................................................. 42 4.5 Obstetric haemorrhage .......................................................................................................... 49 4.6 Hypertensive disorders of pregnancy ................................................................................. 55 4.7 Sepsis ........................................................................................................................................ 59 4.8 Influenza in pregnancy .......................................................................................................... 66 4.9 Early pregnancy deaths ......................................................................................................... 69 4.10 Deaths due to other causes ................................................................................................. 72 5 Deaths related to psychosocial morbidity .............................................................................. 76 5.1 Severe psychosocial maternal morbidity ............................................................................ 76 6 Incidental deaths ......................................................................................................................... 81 6.1 Accidental injury and motor vehicle accident.................................................................... 81 7 Aboriginal and Torres Strait Islander women ....................................................................... 83 7.1 Indigenous women who died between 2006 and 2010 ..................................................... 83 8 Coronial review ........................................................................................................................... 90 iii 8.1 The role of the coroner ........................................................................................................... 90 9 Quality of maternal death reviews in Australia .................................................................... 95 9.1 Sources of maternal death notification ................................................................................ 95 Appendix A National Maternal Mortality Advisory Committee membership ............... 101 Appendix B National Maternal Mortality Advisory Committee–Report Working Group membership .............................................................................................. 103 Appendix C National Maternal Mortality Advisory Committee–Clinical Classifications Working Group membership ................................................. 104 Appendix D Data quality statement......................................................................................... 105 Appendix E National Aboriginal Perinatal Reference Group membership.................... 110 Glossary .............................................................................................................................................. 111 References .......................................................................................................................................... 115 Related publications ........................................................................................................................ 121 List of tables ...................................................................................................................................... 122 List of figures .................................................................................................................................... 125 iv Acknowledgments This report has been made possible by the contribution of members of the medical and midwifery profession, state and territory data managers and staff at the Australian Institute of Health and Welfare. We would like to acknowledge the State and
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