{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:49:27Z","timestamp":1791434967095,"version":"4.3.3"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Maternal deaths are among the most critical global health indicators and directly reflect the quality of obstetric care. In this context, it is crucial to define and evaluate maternal mortality accurately. The aim of this study was to identify the factors leading to maternal deaths, and to assess the burden of trauma-related deaths. The autopsies of maternal deaths conducted at the Morgue Department of the Ankara Group Presidency of the Council of Forensic Medicine between 2011 and 2025 were retrospectively recorded through the National Judicial Network system. A total of 63 cases were identified through keyword searches (\u201cpregnant,\u201d \u201cplacenta,\u201d and \u201cfetus\u201d), and data pertaining to age, gestational age, parity, mechanism of trauma and autopsy findings were recorded. The mean age of the study group was 28.9\u00b17.1 years. Direct obstetric deaths accounted for 20.6%, indirect obstetric deaths for 17.5%, and incidental maternal deaths for 47.6% of the cases. The cause of death remained undetermined in 14.3% of the cases. Maternal mortality has a heterogeneous and multifactorial structure. The high proportion of incidental deaths in forensic autopsy series suggests that evaluating maternal mortality solely within the framework of obstetric complications may be insufficient.<\/jats:p>","DOI":"10.1097\/paf.0000000000001182","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:00:24Z","timestamp":1791432024000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Maternal Mortality Revisited"],"prefix":"10.1097","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3486-657X","authenticated-orcid":false,"given":"Fatma Tu\u011fba","family":"Erkman","sequence":"first","affiliation":[{"name":"Council of Forensic Medicine, Ankara Group Presidency, Ankara, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre Nuri","family":"\u0130\u011fde","sequence":"additional","affiliation":[{"name":"Council of Forensic Medicine, Ankara Group Presidency, Ankara, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bekir","family":"Din\u00e7er","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Samsun University, Samsun, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"R2-20261008","doi-asserted-by":"crossref","first-page":"e626","DOI":"10.1016\/S2214-109X(24)00560-6","article-title":"Global and regional causes of maternal deaths 2009\u201320: a WHO systematic analysis","volume":"13","author":"Cresswell","year":"2025","journal-title":"Lancet Glob Health"},{"issue":"9","key":"R5-20261008","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.3390\/diagnostics15091108","article-title":"Sudden cardiac death in pregnant women\u2014literature review and autopsy findings","volume":"15","author":"Radu","year":"2025","journal-title":"Diagnostics"},{"key":"R6-20261008","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1097\/01.paf.0000203154.50648.33","article-title":"Pregnancy-associated deaths: a 15-year retrospective study and overall review of maternal pathophysiology","volume":"27","author":"Christiansen","year":"2006","journal-title":"Am J Foren Med Pathol"},{"issue":"1","key":"R8-20261008","first-page":"28","article-title":"\u0130stanbul\u2019da Adli Otopsisi Yap\u0131lm\u0131\u015f Gebelik ile \u0130li\u015fkili Anne \u00d6l\u00fcmleri","volume":"9","author":"Melez","year":"2012","journal-title":"Turkiye Klin J Foren Med"},{"issue":"9","key":"R9-20261008","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.2105\/AJPH.2021.306375","article-title":"Racial and Ethnic Disparities in Maternal Mortality in the United States Using Enhanced Vital Records, 2016\u20132017","volume":"111","author":"MacDorman","year":"2021","journal-title":"Am J Public Health"},{"issue":"1","key":"R10-20261008","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/AOG.0000000000000564","article-title":"Pregnancy-related mortality in the United States, 2006-2010","volume":"125","author":"Creanga","year":"2015","journal-title":"Obstetr Gynecol"},{"issue":"9542","key":"R11-20261008","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1016\/S0140-6736(06)69380-X","article-title":"Maternal mortality: who, when, where, and why","volume":"368","author":"Ronsmans","year":"2006","journal-title":"Lancet"},{"issue":"5","key":"R12-20261008","doi-asserted-by":"crossref","first-page":"636","DOI":"10.16899\/jcm.1060754","article-title":"Evaluation of demographic, clinical and autopsy data of autopsied maternal deaths in Turkey","volume":"12","author":"Sezer","year":"2022","journal-title":"J Contemp Med"},{"issue":"5","key":"R13-20261008","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1097\/AOG.0b013e31823294da","article-title":"Homicide and suicide during the perinatal period: findings from the national violent death reporting system","volume":"118","author":"Palladino","year":"2011","journal-title":"Obstetr Gynecol"},{"key":"R14-20261008","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1002\/wps.20769","article-title":"Perinatal mental health: a review of progress and challenges","volume":"19","author":"Howard","year":"2020","journal-title":"World Psychiatry"},{"key":"R15-20261008","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1097\/AOG.0000000000004567","article-title":"Homicide during pregnancy and the postpartum period in the United States, 2018-2019","volume":"138","author":"Wallace","year":"2021","journal-title":"Obstetr Gynecol"}],"container-title":["American Journal of Forensic Medicine &amp; Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/PAF.0000000000001182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:00:26Z","timestamp":1791432026000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/PAF.0000000000001182"}},"subtitle":["The Underrecognized Burden of Incidental and Traumatic Deaths in a Forensic Autopsy Series"],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":11,"URL":"https:\/\/doi.org\/10.1097\/paf.0000000000001182","relation":{},"ISSN":["0195-7910","1533-404X"],"issn-type":[{"value":"0195-7910","type":"print"},{"value":"1533-404X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"assertion":[{"value":"2026-06-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}