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Background <p>In Germany, a&#xa0;high-income country, there is no fully standardized, comparable recording of maternal deaths, apart from the official perinatal statistics, which are always related to a&#xa0;birth and only cover the period of hospitalization.</p> Objective <p>This work addresses the following question: What meaningful prevention strategies can be derived worldwide, focusing on Germany?</p> Materials and methods <p>The Berlin working group that founded the Obstetric Mortality Registry (GeMoRe) has demonstrated initial success in achieving complete registration of maternal deaths in Berlin and analyzing these individual cases.</p> Results <p>The analysis of officially registered maternal deaths in Berlin and those additionally discovered by the GeMoRe group shows that, similar to other high-income countries, with increasing age at first birth and the rising incidence of metabolic diseases, the majority of deaths are attributable to cardiovascular diseases, followed by peripartum hemorrhage as a&#xa0;secondary cause. Just like medical conditions, mental illnesses can contribute to maternal deaths during the first postpartum year, which are currently not captured by the World Health Organization (WHO) definition.</p> Conclusion <p>To optimize treatment strategies aiming to minimize maternal mortality in Germany on the one hand and to ensure politically trustworthy international comparability on the other, mandatory standardized recording of maternal mortality must be politically supported. The GeMoRe model demonstrates not only practical approaches but also the necessity of including data from the first postpartum year.</p>

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Präventionsstrategien zur Senkung der Müttersterblichkeit in Berlin, Deutschland und weltweit

  • 期刊论文

  • 发表日期：

    2026年1月8日

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  • Lars Hellmeyer,
  • Joachim W. Dudenhausen,
  • Klaus Vetter,
  • Martina Ziegert,
  • Thorsten Braun,
  • Julia Callaghan,
  • Josefine T. Königbauer

摘要

Background

In Germany, a high-income country, there is no fully standardized, comparable recording of maternal deaths, apart from the official perinatal statistics, which are always related to a birth and only cover the period of hospitalization.

Objective

This work addresses the following question: What meaningful prevention strategies can be derived worldwide, focusing on Germany?

Materials and methods

The Berlin working group that founded the Obstetric Mortality Registry (GeMoRe) has demonstrated initial success in achieving complete registration of maternal deaths in Berlin and analyzing these individual cases.

Results

The analysis of officially registered maternal deaths in Berlin and those additionally discovered by the GeMoRe group shows that, similar to other high-income countries, with increasing age at first birth and the rising incidence of metabolic diseases, the majority of deaths are attributable to cardiovascular diseases, followed by peripartum hemorrhage as a secondary cause. Just like medical conditions, mental illnesses can contribute to maternal deaths during the first postpartum year, which are currently not captured by the World Health Organization (WHO) definition.

Conclusion

To optimize treatment strategies aiming to minimize maternal mortality in Germany on the one hand and to ensure politically trustworthy international comparability on the other, mandatory standardized recording of maternal mortality must be politically supported. The GeMoRe model demonstrates not only practical approaches but also the necessity of including data from the first postpartum year.