{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:41:12Z","timestamp":1787013672740,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,12,28]],"date-time":"2016-12-28T00:00:00Z","timestamp":1482883200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Nordic Federation of the Societies on Obstetrics and Gynaecology"},{"name":"Finnish Society of Obstetrics and Gynaecology"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate mortality in the non\u2010pregnant fertile female population, and mortality during pregnancy and up to 1\u00a0year after the end of pregnancy, in Finland from 2001 to 2012 and compare the results with those of 1987\u20132000.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Finland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>10\u00a0427 deceased women of reproductive age (15\u201349).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pregnancy outcomes were categorised into: ongoing pregnancy or birth, miscarriage or ectopic pregnancy and termination of pregnancy. Mortality was calculated per 100\u00a0000 pregnancies. The mortality rate of the non\u2010pregnant female population of fertile age was calculated per 100\u00a0000 person\u2010years, and the results were compared with those of 1987\u20132000.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Pregnancy\u2010associated mortality during pregnancy and up to 1\u00a0year after the end of pregnancy. Mortality of non\u2010pregnant, fertile\u2010age, female population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The age\u2010adjusted mortality rate during pregnancy and within 1\u00a0year after the end of pregnancy was 28.4\/100\u00a0000 pregnancies, and it had significantly decreased compared with the period 1987\u20132000 [risk ratio (RR) 0.75 (95% CI, 0.65\u20130.88)]. Mortality in non\u2010pregnant fertile\u2010age females was 48.1\/100\u00a0000 person\u2010years. Mortality for diseases and medical conditions during and after pregnancy decreased by 26% [RR 0.74 (95% CI, 0.59\u20130.92)] and for external causes by 23% [RR 0.77 (95% CI, 0.62\u20130.95)]. The mortality rate for suicides was 3.3\/100\u00a0000 in ongoing pregnancies and pregnancies ending in birth while it was 21.8\/100\u00a0000 after termination of pregnancy and 10.2\/100\u00a0000 among non\u2010pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In comparison with earlier decades, pregnancy\u2010associated mortality has decreased in Finland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Tweetable abstract<\/jats:title>\n                    <jats:p>Mortality decreases among pregnant women and within 1\u00a0year after pregnancy in Finland.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.14484","type":"journal-article","created":{"date-parts":[[2016,12,28]],"date-time":"2016-12-28T05:23:56Z","timestamp":1482902636000},"page":"1115-1121","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Decreasing mortality during pregnancy and for a year after while mortality after termination of pregnancy remains high: a population\u2010based register study of pregnancy\u2010associated deaths in Finland 2001\u20132012"],"prefix":"10.1111","volume":"124","author":[{"given":"E","family":"Karalis","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Helsinki Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u2010M","family":"Ulander","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Helsinki Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A\u2010M","family":"Tapper","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Helsinki Helsinki University Hospital Helsinki Finland"},{"name":"University of Helsinki Hyvink\u00e4\u00e4 Hospital Hyvink\u00e4\u00e4 Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Gissler","sequence":"additional","affiliation":[{"name":"THL National Institute for Health and Welfare Helsinki Finland"},{"name":"Department of Neurobiology, Care Sciences and Society Division of Family Medicine Karolinska Institute Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12,28]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"23","volume-title":"Definitions of Maternal Death. 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