{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T04:09:49Z","timestamp":1745554189289,"version":"3.40.4"},"reference-count":4,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T00:00:00Z","timestamp":1041379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T00:00:00Z","timestamp":1041379200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gyn\u00e4kol Geburtshilfliche Rundsch"],"published-print":{"date-parts":[[2003]]},"abstract":"<jats:p>In den letzten 100 Jahren ist die m\u00fctterliche Mortalit\u00e4t in den westlichen L\u00e4ndern massiv gesunken. Aktuelle und detaillierte Zahlen \u00fcber die Ursachen in der Schweiz existieren jedoch nicht. Ausgehend von den damals mit ICD-8 kodierten \u00f6ffentlich erfassten M\u00fcttersterbef\u00e4llen der Jahre 1985\u20131994 haben wir mit einer direkten Einsicht in die anonymisierten Krankenakten die F\u00e4lle pr\u00e4ziser klassieren k\u00f6nnen. Wir teilten sie in direkte und indirekte M\u00fcttersterbef\u00e4lle ein. Von prim\u00e4r 76 registrierten F\u00e4llen blieben 45 direkte Todesf\u00e4lle auf 812825 Geburten, was einer direkten M\u00fcttersterblichkeit von 5,4\/100000 Lebendgeburten entspricht. Die \u00fcbrigen F\u00e4lle mussten umklassiert werden (indirekte, nicht schwangerschaftsbedingte und sp\u00e4te M\u00fcttersterbef\u00e4lle). Am h\u00e4ufigsten starben M\u00fctter an einer Thromboembolie (15%). Die Sektioletalit\u00e4t betrug 0,09\u2030. Die grosse Zahl von umklassierten F\u00e4llen zeigt, dass eine Unterweisung im Ausf\u00fcllen der Todeszertifikate n\u00f6tig w\u00e4re. Beim Bestreben, die M\u00fcttersterblichkeit weiter zu senken, muss das Augenmerk auf eine konsequente Thromboembolieprophylaxe und eine fr\u00fche Entbindung bei HELLP-Syndrom gerichtet werden.<\/jats:p>","DOI":"10.1159\/000070795","type":"journal-article","created":{"date-parts":[[2003,6,13]],"date-time":"2003-06-13T07:08:23Z","timestamp":1055488103000},"page":"158-165","source":"Crossref","is-referenced-by-count":9,"title":["M\u00fctterliche Mortalit\u00e4t in der Schweiz 1985\u20131994"],"prefix":"10.1159","volume":"43","author":[{"given":"Gesine","family":"Meili","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renate","family":"Huch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Huch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Zimmermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2003,6,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(94)90404-9"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(86)90081-0"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(94)90229-1"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)91474-9"}],"container-title":["Gyn\u00e4kologisch-geburtshilfliche Rundschau"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/70795","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/70795","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:23:54Z","timestamp":1745465034000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000070795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003]]},"references-count":4,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2003,6,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000070795","archive":["Portico"],"relation":{},"ISSN":["1018-8843","1423-0011"],"issn-type":[{"type":"print","value":"1018-8843"},{"type":"electronic","value":"1423-0011"}],"subject":[],"published":{"date-parts":[[2003]]}}}