Pregnancy-associated mortality in Taiwan, 2004-2011

Li Sha, Tung Pi Wu, Fu Wen Liang, Lea Hua Chen, Tsung Hsueh Lu, Ya Li Huang

Research output: Contribution to journalArticle

Abstract

Objective: Pregnancy-associated death is defined by the American College of Obstetricians and Gynecologists as "a death of a woman while pregnant or within 1 year of termination of pregnancy, irrespective of the cause of death." We sought to determine pregnancy-associated mortality ratio (PAMR) in Taiwan and to compare the cause of death pattern with other countries to assess the national health status of Taiwanese women. Materials and methods: We linked four nationwide population-based data sets (birth registration, birth notification, National Health Insurance claims, and cause of death mortality) from 2004 to 2011 to identify women aged 15-49 years that died from pregnancy-associated deaths. We then calculated the PAMR and cause of death distribution by maternal age. Results: A total of 559 pregnancy-associated deaths were identified with an overall PAMR of 36 (deaths per 100,000 live births). The J-shaped age-specific PAMR mortality pattern was noted, in which the PAMR was 32, 25, 24, 36, 71, 143, and 369 for women aged 15-19 years, 20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years, and 45-49 years, respectively. The age-standardized PAMR decreased drastically from 45 in 2004-2005 to 36 in 2006-2007 and 30 in 2008-2009, but leveled off to 33 in 2010-2011. The proportion of indirect causes increased from 2004-2007 to 2008-2011 among women aged 15-29 years and 35-49 years. Conclusion: Compared with previous studies, the PAMR of Taiwan is moderate. However, the proportion of external causes of pregnancy-associated deaths in Taiwan is the lowest compared with other regions. Further studies (such as death review) are needed to explore possible preventable factors.

Original languageEnglish
Pages (from-to)331-335
Number of pages5
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume55
Issue number3
DOIs
Publication statusPublished - Jun 1 2016

Fingerprint

Taiwan
Pregnancy
Mortality
Cause of Death
Parturition
Maternal Age
National Health Programs
Live Birth
Health Status
Pregnant Women

Keywords

  • Cause of death
  • Data linkage
  • Pregnancy-associated mortality
  • Taiwan

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Pregnancy-associated mortality in Taiwan, 2004-2011. / Sha, Li; Wu, Tung Pi; Liang, Fu Wen; Chen, Lea Hua; Lu, Tsung Hsueh; Huang, Ya Li.

In: Taiwanese Journal of Obstetrics and Gynecology, Vol. 55, No. 3, 01.06.2016, p. 331-335.

Research output: Contribution to journalArticle

Sha, Li ; Wu, Tung Pi ; Liang, Fu Wen ; Chen, Lea Hua ; Lu, Tsung Hsueh ; Huang, Ya Li. / Pregnancy-associated mortality in Taiwan, 2004-2011. In: Taiwanese Journal of Obstetrics and Gynecology. 2016 ; Vol. 55, No. 3. pp. 331-335.
@article{d0150eec789c4cf1a3a107558e5b79f9,
title = "Pregnancy-associated mortality in Taiwan, 2004-2011",
abstract = "Objective: Pregnancy-associated death is defined by the American College of Obstetricians and Gynecologists as {"}a death of a woman while pregnant or within 1 year of termination of pregnancy, irrespective of the cause of death.{"} We sought to determine pregnancy-associated mortality ratio (PAMR) in Taiwan and to compare the cause of death pattern with other countries to assess the national health status of Taiwanese women. Materials and methods: We linked four nationwide population-based data sets (birth registration, birth notification, National Health Insurance claims, and cause of death mortality) from 2004 to 2011 to identify women aged 15-49 years that died from pregnancy-associated deaths. We then calculated the PAMR and cause of death distribution by maternal age. Results: A total of 559 pregnancy-associated deaths were identified with an overall PAMR of 36 (deaths per 100,000 live births). The J-shaped age-specific PAMR mortality pattern was noted, in which the PAMR was 32, 25, 24, 36, 71, 143, and 369 for women aged 15-19 years, 20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years, and 45-49 years, respectively. The age-standardized PAMR decreased drastically from 45 in 2004-2005 to 36 in 2006-2007 and 30 in 2008-2009, but leveled off to 33 in 2010-2011. The proportion of indirect causes increased from 2004-2007 to 2008-2011 among women aged 15-29 years and 35-49 years. Conclusion: Compared with previous studies, the PAMR of Taiwan is moderate. However, the proportion of external causes of pregnancy-associated deaths in Taiwan is the lowest compared with other regions. Further studies (such as death review) are needed to explore possible preventable factors.",
keywords = "Cause of death, Data linkage, Pregnancy-associated mortality, Taiwan",
author = "Li Sha and Wu, {Tung Pi} and Liang, {Fu Wen} and Chen, {Lea Hua} and Lu, {Tsung Hsueh} and Huang, {Ya Li}",
year = "2016",
month = "6",
day = "1",
doi = "10.1016/j.tjog.2016.04.007",
language = "English",
volume = "55",
pages = "331--335",
journal = "Taiwanese Journal of Obstetrics and Gynecology",
issn = "1028-4559",
publisher = "臺灣婦產科醫學會",
number = "3",

}

TY - JOUR

T1 - Pregnancy-associated mortality in Taiwan, 2004-2011

AU - Sha, Li

AU - Wu, Tung Pi

AU - Liang, Fu Wen

AU - Chen, Lea Hua

AU - Lu, Tsung Hsueh

AU - Huang, Ya Li

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Objective: Pregnancy-associated death is defined by the American College of Obstetricians and Gynecologists as "a death of a woman while pregnant or within 1 year of termination of pregnancy, irrespective of the cause of death." We sought to determine pregnancy-associated mortality ratio (PAMR) in Taiwan and to compare the cause of death pattern with other countries to assess the national health status of Taiwanese women. Materials and methods: We linked four nationwide population-based data sets (birth registration, birth notification, National Health Insurance claims, and cause of death mortality) from 2004 to 2011 to identify women aged 15-49 years that died from pregnancy-associated deaths. We then calculated the PAMR and cause of death distribution by maternal age. Results: A total of 559 pregnancy-associated deaths were identified with an overall PAMR of 36 (deaths per 100,000 live births). The J-shaped age-specific PAMR mortality pattern was noted, in which the PAMR was 32, 25, 24, 36, 71, 143, and 369 for women aged 15-19 years, 20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years, and 45-49 years, respectively. The age-standardized PAMR decreased drastically from 45 in 2004-2005 to 36 in 2006-2007 and 30 in 2008-2009, but leveled off to 33 in 2010-2011. The proportion of indirect causes increased from 2004-2007 to 2008-2011 among women aged 15-29 years and 35-49 years. Conclusion: Compared with previous studies, the PAMR of Taiwan is moderate. However, the proportion of external causes of pregnancy-associated deaths in Taiwan is the lowest compared with other regions. Further studies (such as death review) are needed to explore possible preventable factors.

AB - Objective: Pregnancy-associated death is defined by the American College of Obstetricians and Gynecologists as "a death of a woman while pregnant or within 1 year of termination of pregnancy, irrespective of the cause of death." We sought to determine pregnancy-associated mortality ratio (PAMR) in Taiwan and to compare the cause of death pattern with other countries to assess the national health status of Taiwanese women. Materials and methods: We linked four nationwide population-based data sets (birth registration, birth notification, National Health Insurance claims, and cause of death mortality) from 2004 to 2011 to identify women aged 15-49 years that died from pregnancy-associated deaths. We then calculated the PAMR and cause of death distribution by maternal age. Results: A total of 559 pregnancy-associated deaths were identified with an overall PAMR of 36 (deaths per 100,000 live births). The J-shaped age-specific PAMR mortality pattern was noted, in which the PAMR was 32, 25, 24, 36, 71, 143, and 369 for women aged 15-19 years, 20-24 years, 25-29 years, 30-34 years, 35-39 years, 40-44 years, and 45-49 years, respectively. The age-standardized PAMR decreased drastically from 45 in 2004-2005 to 36 in 2006-2007 and 30 in 2008-2009, but leveled off to 33 in 2010-2011. The proportion of indirect causes increased from 2004-2007 to 2008-2011 among women aged 15-29 years and 35-49 years. Conclusion: Compared with previous studies, the PAMR of Taiwan is moderate. However, the proportion of external causes of pregnancy-associated deaths in Taiwan is the lowest compared with other regions. Further studies (such as death review) are needed to explore possible preventable factors.

KW - Cause of death

KW - Data linkage

KW - Pregnancy-associated mortality

KW - Taiwan

UR - http://www.scopus.com/inward/record.url?scp=84975780548&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84975780548&partnerID=8YFLogxK

U2 - 10.1016/j.tjog.2016.04.007

DO - 10.1016/j.tjog.2016.04.007

M3 - Article

C2 - 27343310

AN - SCOPUS:84975780548

VL - 55

SP - 331

EP - 335

JO - Taiwanese Journal of Obstetrics and Gynecology

JF - Taiwanese Journal of Obstetrics and Gynecology

SN - 1028-4559

IS - 3

ER -