{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:42:29Z","timestamp":1789400549398,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,11,14]],"date-time":"2015-11-14T00:00:00Z","timestamp":1447459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Maternal death, during pregnancy or within 42 and 365 days from the end of pregnancy, was evaluated for a small high\u2010income nation with comprehensive healthcare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Cases were identified using record linkage by running national census information on all deaths of women aged 15\u201349 years during 1985\u20132009 against the national birth register and computerized hospital admission files for pregnancy\u2010related diagnoses as well as actual case records where needed. Death certificates and hospital records were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty deaths were identified; 26 at \u226522 weeks (= birth) and four earlier in pregnancy. For 107 871 deliveries, the overall mortality was 27.8\/100 000. There were five direct deaths (4.6\/100 000 deliveries), five indirect deaths (4.6\/100 000 deliveries) and 19 coincidental deaths (17.6\/100 000 deliveries). Using <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content> criteria (direct and indirect in pregnancy or at \u226442 days postpartum) the ratio was 5.6\/100 000 deliveries (95% confidence interval 1.1\u201310.1) and 5.5\/100 000 live births (maternal mortality ratio, based on six deaths). Direct deaths were caused by sepsis, severe preeclampsia and choriocarcinoma, indirect by suicide, pre\u2010existing cardiac and diabetic illness. No woman died of postpartum hemorrhage, anesthesia or ectopic pregnancy. Suboptimal care occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Maternal mortality in Iceland over a 25\u2010year period up to the end of year 2010 was low, between 5 and 6\/100 000 births. A comprehensive national healthcare system with accessible antenatal care in a society with good general living conditions and universal education probably contributed to this.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12797","type":"journal-article","created":{"date-parts":[[2015,10,13]],"date-time":"2015-10-13T21:26:34Z","timestamp":1444771594000},"page":"74-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Maternal deaths in Iceland over 25 years"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7012-4688","authenticated-orcid":false,"given":"Hera","family":"Birgisdottir","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Iceland Reykjav\u00edk Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0503-1319","authenticated-orcid":false,"given":"Ragnheidur I.","family":"Bjarnadottir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Women's Clinic Landsp\u00edtali University Hospital Reykjav\u00edk Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1041-2039","authenticated-orcid":false,"given":"Katrin","family":"Kristjansdottir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Women's Clinic Landsp\u00edtali University Hospital Reykjav\u00edk Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5419-0909","authenticated-orcid":false,"given":"Reynir T.","family":"Geirsson","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Iceland Reykjav\u00edk Iceland"},{"name":"Department of Obstetrics and Gynecology Women's Clinic Landsp\u00edtali University Hospital Reykjav\u00edk 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