[Epidemiology of maternal mortality by infectious cause in France, 2007-2009, using data from confidential maternal mortality report].
Identifieur interne : 000179 ( Main/Exploration ); précédent : 000178; suivant : 000180[Epidemiology of maternal mortality by infectious cause in France, 2007-2009, using data from confidential maternal mortality report].
Auteurs : L. Ghesquière [France] ; P. Deruelle [France] ; P. Charbonneau [France] ; F. Puech [France]Source :
- Journal de gynecologie, obstetrique et biologie de la reproduction [ 1773-0430 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Cause de décès (MeSH), Complications infectieuses de la grossesse (mortalité), Facteurs socioéconomiques (MeSH), Femelle (MeSH), France (épidémiologie), Grossesse (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mortalité maternelle (tendances), Mortinatalité (épidémiologie), Nouveau-né (MeSH), Troubles du postpartum (mortalité), Âge gestationnel (MeSH).
- MESH :
- mortalité : Complications infectieuses de la grossesse, Troubles du postpartum.
- tendances : Mortalité maternelle.
- épidémiologie : France, Mortinatalité.
- Adulte, Cause de décès, Facteurs socioéconomiques, Femelle, Grossesse, Humains, Jeune adulte, Nouveau-né, Âge gestationnel.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult (MeSH), Cause of Death (MeSH), Female (MeSH), France (epidemiology), Gestational Age (MeSH), Humans (MeSH), Infant, Newborn (MeSH), Infections (mortality), Maternal Mortality (trends), Pregnancy (MeSH), Pregnancy Complications, Infectious (mortality), Puerperal Disorders (mortality), Socioeconomic Factors (MeSH), Stillbirth (epidemiology), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : France.
- epidemiology : Stillbirth.
- mortality : Infections, Pregnancy Complications, Infectious, Puerperal Disorders.
- trends : Maternal Mortality.
- Adult, Cause of Death, Female, Gestational Age, Humans, Infant, Newborn, Pregnancy, Socioeconomic Factors, Young Adult.
Abstract
Although deaths caused by infection during pregnancy and the postpartum period are rare in France, mortality rates have increased in several countries of the European community. In France, the rate of maternal mortality by infectious cause has decreased over the last 12 years. Infectious causes are currently in fifth place of maternal deaths. Over the period 2007-2009, 18 deaths occurred, eight by direct infectious causes and 10 by indirect infectious causes. Among the 18 deaths, 17 were examined by the National Expert Committee on Maternal Mortality (CNEMM) with the objectives to determine the direct or indirect link with pregnancy, the adequacy of care and the preventability of death. Among 8 deaths from direct infectious causes, four deaths were deemed "preventable" or "possibly preventable" because of inadequate care. Among nine deaths from indirect infectious causes, preventability could not be established in two deaths, five were non-preventable and two were preventable due to non-optimal care. These cases of puerperal septicemia show that when sepsis is clinically manifest, infection is already well established and widespread deterioration is therefore often irreversible. Maternal mortality is preventable in most cases if several points are observed: early diagnosis, probabilistic antibiotics targeting most frequently involved bacteria including Escherichia coli and Streptococcus A, early transfer to ICU, control septic portal entry, simple preventive measures, influenza vaccination. A "microbiological clinical diagnosis" approach must be initiated at the first clinical signs.
DOI: 10.1016/j.jgyn.2014.05.013
PubMed: 25060866
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Puech</name><affiliation wicri:level="3"><nlm:affiliation>Faculté de médecine, université droit et santé Lille II, Comité national d'experts sur la mortalité maternelle (CNEMM), 59800 Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Faculté de médecine, université droit et santé Lille II, Comité national d'experts sur la mortalité maternelle (CNEMM), 59800 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal de gynecologie, obstetrique et biologie de la reproduction</title><idno type="eISSN">1773-0430</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Cause of Death (MeSH)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>Gestational Age (MeSH)</term><term>Humans (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Infections (mortality)</term><term>Maternal Mortality (trends)</term><term>Pregnancy (MeSH)</term><term>Pregnancy Complications, Infectious (mortality)</term><term>Puerperal Disorders (mortality)</term><term>Socioeconomic Factors (MeSH)</term><term>Stillbirth (epidemiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Cause de décès (MeSH)</term><term>Complications infectieuses de la grossesse (mortalité)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>France (épidémiologie)</term><term>Grossesse (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mortalité maternelle (tendances)</term><term>Mortinatalité (épidémiologie)</term><term>Nouveau-né (MeSH)</term><term>Troubles du postpartum (mortalité)</term><term>Âge gestationnel (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Stillbirth</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Infections</term><term>Pregnancy Complications, Infectious</term><term>Puerperal Disorders</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Complications infectieuses de la grossesse</term><term>Troubles du postpartum</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Mortalité maternelle</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Maternal Mortality</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Mortinatalité</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cause of Death</term><term>Female</term><term>Gestational Age</term><term>Humans</term><term>Infant, Newborn</term><term>Pregnancy</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Cause de décès</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Jeune adulte</term><term>Nouveau-né</term><term>Âge gestationnel</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although deaths caused by infection during pregnancy and the postpartum period are rare in France, mortality rates have increased in several countries of the European community. In France, the rate of maternal mortality by infectious cause has decreased over the last 12 years. Infectious causes are currently in fifth place of maternal deaths. Over the period 2007-2009, 18 deaths occurred, eight by direct infectious causes and 10 by indirect infectious causes. Among the 18 deaths, 17 were examined by the National Expert Committee on Maternal Mortality (CNEMM) with the objectives to determine the direct or indirect link with pregnancy, the adequacy of care and the preventability of death. Among 8 deaths from direct infectious causes, four deaths were deemed "preventable" or "possibly preventable" because of inadequate care. Among nine deaths from indirect infectious causes, preventability could not be established in two deaths, five were non-preventable and two were preventable due to non-optimal care. These cases of puerperal septicemia show that when sepsis is clinically manifest, infection is already well established and widespread deterioration is therefore often irreversible. Maternal mortality is preventable in most cases if several points are observed: early diagnosis, probabilistic antibiotics targeting most frequently involved bacteria including Escherichia coli and Streptococcus A, early transfer to ICU, control septic portal entry, simple preventive measures, influenza vaccination. A "microbiological clinical diagnosis" approach must be initiated at the first clinical signs.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25060866</PMID><DateCompleted><Year>2015</Year><Month>09</Month><Day>11</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1773-0430</ISSN><JournalIssue CitedMedium="Internet"><Volume>44</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal de gynecologie, obstetrique et biologie de la reproduction</Title><ISOAbbreviation>J Gynecol Obstet Biol Reprod (Paris)</ISOAbbreviation></Journal><ArticleTitle>[Epidemiology of maternal mortality by infectious cause in France, 2007-2009, using data from confidential maternal mortality report].</ArticleTitle><Pagination><MedlinePgn>1-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jgyn.2014.05.013</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0368-2315(14)00147-1</ELocationID><Abstract><AbstractText>Although deaths caused by infection during pregnancy and the postpartum period are rare in France, mortality rates have increased in several countries of the European community. In France, the rate of maternal mortality by infectious cause has decreased over the last 12 years. Infectious causes are currently in fifth place of maternal deaths. Over the period 2007-2009, 18 deaths occurred, eight by direct infectious causes and 10 by indirect infectious causes. Among the 18 deaths, 17 were examined by the National Expert Committee on Maternal Mortality (CNEMM) with the objectives to determine the direct or indirect link with pregnancy, the adequacy of care and the preventability of death. Among 8 deaths from direct infectious causes, four deaths were deemed "preventable" or "possibly preventable" because of inadequate care. Among nine deaths from indirect infectious causes, preventability could not be established in two deaths, five were non-preventable and two were preventable due to non-optimal care. These cases of puerperal septicemia show that when sepsis is clinically manifest, infection is already well established and widespread deterioration is therefore often irreversible. Maternal mortality is preventable in most cases if several points are observed: early diagnosis, probabilistic antibiotics targeting most frequently involved bacteria including Escherichia coli and Streptococcus A, early transfer to ICU, control septic portal entry, simple preventive measures, influenza vaccination. A "microbiological clinical diagnosis" approach must be initiated at the first clinical signs.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ghesquière</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Pôle Femme-Mère-Nouveau-né, clinique d'obstétrique, maternité Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deruelle</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Pôle Femme-Mère-Nouveau-né, clinique d'obstétrique, maternité Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; EA4489, environnement périnatal et croissance, faculté de médecine. université Lille 2, 59800 Lille, France. Electronic address: philippe.deruelle@univ-lille2.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Charbonneau</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Comité national d'experts sur la mortalité maternelle (CNEMM), 59800 Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Puech</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Faculté de médecine, université droit et santé Lille II, Comité national d'experts sur la mortalité maternelle (CNEMM), 59800 Lille, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Épidémiologie de la mortalité maternelle de cause infectieuse en France, période 2007-2009, à partir des données du rapport confidentiel de mortalité maternelle.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2014</Year><Month>07</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>J Gynecol Obstet Biol Reprod (Paris)</MedlineTA><NlmUniqueID>0322206</NlmUniqueID><ISSNLinking>0150-9918</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002423" MajorTopicYN="N">Cause of Death</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005865" MajorTopicYN="N">Gestational Age</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007239" MajorTopicYN="N">Infections</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008428" MajorTopicYN="Y">Maternal Mortality</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011251" MajorTopicYN="N">Pregnancy Complications, Infectious</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011644" MajorTopicYN="N">Puerperal Disorders</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D050497" MajorTopicYN="N">Stillbirth</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Bacteria</Keyword><Keyword MajorTopicYN="N">Bactérie</Keyword><Keyword MajorTopicYN="N">Infection</Keyword><Keyword MajorTopicYN="N">Maternal mortality</Keyword><Keyword MajorTopicYN="N">Mortalité maternelle</Keyword><Keyword MajorTopicYN="N">Peripartum</Keyword><Keyword MajorTopicYN="N">Péri-partum</Keyword><Keyword MajorTopicYN="N">Virus</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>05</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>05</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>05</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>7</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25060866</ArticleId><ArticleId IdType="pii">S0368-2315(14)00147-1</ArticleId><ArticleId IdType="doi">10.1016/j.jgyn.2014.05.013</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Hauts-de-France</li><li>Nord-Pas-de-Calais</li></region><settlement><li>Lille</li></settlement></list><tree><country name="France"><region name="Hauts-de-France"><name sortKey="Ghesquiere, L" sort="Ghesquiere, L" uniqKey="Ghesquiere L" first="L" last="Ghesquière">L. Ghesquière</name></region><name sortKey="Charbonneau, P" sort="Charbonneau, P" uniqKey="Charbonneau P" first="P" last="Charbonneau">P. Charbonneau</name><name sortKey="Deruelle, P" sort="Deruelle, P" uniqKey="Deruelle P" first="P" last="Deruelle">P. Deruelle</name><name sortKey="Puech, F" sort="Puech, F" uniqKey="Puech F" first="F" last="Puech">F. Puech</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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