{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T03:59:26Z","timestamp":1782878366294,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[1997,8,31]],"date-time":"1997-08-31T00:00:00Z","timestamp":872985600000},"content-version":"vor","delay-in-days":30,"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":[[1997,8]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic> Underreporting and misclassification of maternal deaths are universal. The purposes of this study were to quantify the level of underestimation of maternal mortality and to analyze possible factors that contribute to underreporting and misclassification of maternal mortality.<\/jats:p><jats:p><jats:italic>Methods.<\/jats:italic> An interview census of all registered deaths that occurred during 1984\u20101988 in women of reproductive age was undertaken in Taiwan. Pregnancy\u2010related deaths were screened from all collected questionnaires and death certificates by the researchers. The screened pregnancy\u2010related deaths were then reviewed and evaluated by obstetrician\u2010gynecologists; a cause of each death was assigned.<\/jats:p><jats:p><jats:italic>Results.<\/jats:italic> For the five years, on average, the rate of underreporting of maternal mortality is 58.38% and the correct\/confirmed rate of classification is 53.28%. Underreported and mis\u2010classified maternal deaths are more likely for women aged 20\u201024, with stillbirth and fetal death, care sought for non\u2010obstetric reasons, care received in private hospitals and clinics, occurrence in the home, certification by non\u2010obstetrician\u2010gynecologists and court doctors, and death from non\u2010obstetric causes.<\/jats:p><jats:p><jats:italic>Conclusions.<\/jats:italic> This study shows the limitations of official vital registration and concludes that dependence on death certificates alone to identify maternal deaths is incomplete and incorrect.<\/jats:p>","DOI":"10.3109\/00016349709024602","type":"journal-article","created":{"date-parts":[[2008,3,13]],"date-time":"2008-03-13T13:06:27Z","timestamp":1205413587000},"page":"629-636","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Underreporting and misclassification of maternal mortality in Taiwan"],"prefix":"10.1111","volume":"76","author":[{"given":"Senyeong","family":"Kao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Mei","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leiyu","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin C.","family":"Weinrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1997,8,31]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"336","article-title":"Minnesota maternal mortality study: five\u2010year general summary, 1950\u20131954","volume":"9","author":"Barno A.","year":"1957","journal-title":"Ob-stet Gynecol"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1879-3479.1979.tb00445.x"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.8.780"},{"key":"e_1_2_1_5_1","first-page":"91","article-title":"Maternal mortality in the United States: report from maternal mortality collaborative","volume":"72","author":"Roehat R. W.","year":"1988","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_6_1","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1001\/jama.1989.03430030064035","article-title":"Maternal mortality in developing countries: an ongoing but neglected \u2018Epidemic\u2019","volume":"262","author":"Rosenfield A.","year":"1989","journal-title":"JAMA"},{"key":"e_1_2_1_7_1","first-page":"469","article-title":"Enhanced maternal mortality surveillance\u2010North Carolina, 1988 and 1989","volume":"40","author":"Centers for Disease Control (CDC)","year":"1991","journal-title":"MMWR"},{"key":"e_1_2_1_8_1","first-page":"521","article-title":"Maternal mortality surveillance\u2010Puerto Rico, 1989","volume":"40","author":"Centers for Disease Control (CDC)","year":"1991","journal-title":"MMWR"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb09320.x"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.2307\/1966872"},{"key":"e_1_2_1_11_1","first-page":"621","article-title":"Misclassification of maternal deaths\u2010Washington State","volume":"35","author":"Centers for Disease Control (CDC)","year":"1986","journal-title":"MMWR"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.5.570"},{"key":"e_1_2_1_13_1","first-page":"317","article-title":"Maternal mortality in New York City, 1981 to 1983","volume":"76","author":"Dorfman S. F.","year":"1990","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/19.3.599"},{"key":"e_1_2_1_15_1","first-page":"27","article-title":"A 10\u2010year review of maternal mortality in municipal hospital in Rio de Janeiro: a cause for concern","volume":"75","author":"Laguardia K. D.","year":"1990","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1989.tb01568.x"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(89)90355-X"},{"key":"e_1_2_1_18_1","doi-asserted-by":"crossref","first-page":"615","DOI":"10.5694\/j.1326-5377.1989.tb139628.x","article-title":"Maternal mortality","volume":"151","author":"Walters W A W.","year":"1990","journal-title":"Med J Aust"},{"key":"e_1_2_1_19_1","volume-title":"Demographic Year Book 1989","author":"UNDIESA (United Nations Department of International Economic and Social Affairs, Statistical Office)","year":"1991"},{"key":"e_1_2_1_20_1","volume-title":"Statistics relating to maternal and child health in Taiwan","author":"TPMCHI (Taiwan Provincial Maternal and Child Health Institute)","year":"1992"},{"key":"e_1_2_1_21_1","volume-title":"Health and Vital Statistics","author":"DHEY (Department of Health, the Executive Yuan)","year":"1993"},{"key":"e_1_2_1_22_1","first-page":"2","article-title":"Maternal mortality in the United States of American","volume":"34","author":"Roehat R. W.","year":"1981","journal-title":"World Health Stat Q"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/20.3.717"},{"key":"e_1_2_1_24_1","volume-title":"The International Classification of Diseases, 9th revision, Clinical Modification: ICD\u20109\u2010CMthird edition Volume 1: Diseases Tabular List","author":"DHHS (U.S. Department of Health and Human Services)","year":"1989"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.81.3.380"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.2307\/1966974"},{"key":"e_1_2_1_27_1","first-page":"214","article-title":"On the assessment of maternal mortality","volume":"40","author":"Royston E.","year":"1987","journal-title":"World Health Stat Q"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.2307\/1966492"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.2307\/2135415"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.69.7.680"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198409063111011"},{"key":"e_1_2_1_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.280.6216.767"},{"key":"e_1_2_1_33_1","volume-title":"Verbal autopsies for maternal deaths. Division of Family Health","author":"Campbell O.","year":"1994"},{"key":"e_1_2_1_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(89)90213-0"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F00016349709024602","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/00016349709024602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T07:00:29Z","timestamp":1749452429000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.3109\/00016349709024602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,8]]},"references-count":33,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1997,8]]}},"alternative-id":["10.3109\/00016349709024602"],"URL":"https:\/\/doi.org\/10.3109\/00016349709024602","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,8]]},"assertion":[{"value":"1997-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}