Research from the NPEU is covered in a BBC News story published last week, highlighting the findings of our most recent MBRRACE-UK collaboration's annual report, Saving Lives, Improving Mothers' Care by Knight et. al., 2018.
The report shows that the number of women dying as a consequence of complications during or after pregnancy remains low in the UK - fewer than 10 of every 100,000 pregnant women die in pregnancy or around childbirth. However, the report highlights striking inequalities: black women are five times and Asian women two times more likely to die as a result of complications in pregnancy than white women and urgent research and action to understand these disparities is recommended.
A follow-up report will be led by the National Perinatal Epidemiology Unit, which said it hoped to "identify clear ways to reduce the disparity in mortality amongst black and Asian women".
You can read the article "Why are black mothers at more risk of dying?" on the BBC News website.
The fifth MBRRACE-UK collaboration’s annual report Saving Lives, Improving Mothers’ Care led by the National Perinatal Epidemiology Unit shows that the number of women dying as a consequence of complications during or after pregnancy remains low in the UK - fewer than 10 of every 100,000 pregnant women die in pregnancy or around childbirth. However, the report highlights striking inequalities: black women are five times and Asian women two times more likely to die as a result of complications in pregnancy than white women and urgent research and action to understand these disparities is recommended.
Heart disease remains the leading cause of women dying during pregnancy or up to six weeks after giving birth, followed by blood clots. Maternal suicide is the fifth most common cause of women’s deaths during pregnancy and its immediate aftermath, but is the leading cause of death over the first year after pregnancy. Although there is greater awareness of the importance of mental health during pregnancy and in the first year after birth, there is still a long way to go in recognising symptoms, supporting women with mental health problems and providing access to specialist perinatal mental health care.
The report highlights the risk of blood clots, particularly among women who are overweight or obese, and emphasises the importance of awareness of symptoms, such as leg or buttock pain and breathlessness even in early pregnancy.
Women who are aged 40 or over have three times the risk of dying during or after pregnancy compared to women in their early 20s and although cancer in pregnancy is uncommon, women and their doctors and midwives need to be aware that it can happen.
The report emphasises the importance of considering the benefits of starting or continuing medication to treat physical and mental health conditions during pregnancy, as well as the risks. Many medicines are safe in pregnancy, and so ensuring a woman is properly treated while pregnant may be the best way to care for both her and her baby.
To read more you can download the full report, lay summary and the infograpic here: https://www.npeu.ox.ac.uk/mbrrace-uk/reports
Marian Knight, Bryn Kemp and Stephen McCall published a letter last week emphasising that maternal deaths related to epilepsy are preventable.
Anti-epileptic drugs during pregnancy should be optimised and a specialist referral should always be sought in women with epilepsy.
Read the letter, published in JAMA Neurology. More information regarding these findings are reported in the latest MBRRACE-UK Report.
The fourth annual Saving Lives, Improving Mothers’ Care report issued by the MBRRACE-UK collaboration is published today 7th December 2017: You can read it on the MBRRACE-UK reports page.
In this, the latest Confidential Enquiry into Maternal Deaths and Morbidity, the MBRRACE-UK collaboration report on the care of 124 women who died during or after pregnancy in the UK and Ireland between 2013 and 2015, and 46 women who had severe illness in this period. In particular the care for women with severe epilepsy and women who had severe mental illness was examined, as well as the care for women who died.
A key finding was that forward planning of care and optimising medication doses for women with physical and mental health problems could make a major difference to women’s risk of complications during and after pregnancy. In particular pregnant women and those who are planning pregnancy who are on medication should not discontinue their treatment without consulting a specialist.
To read more…go to the MBRRACE-UK home page.
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