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Background <p>The officially reported maternal mortality ratio for Germany is among the lowest worldwide; however, systematic reporting deficits cast doubt on the validity of these statistics.</p> Objective <p>To identify existing gaps in data collection and to explore evidence-based solutions.</p> Methods <p>Drawing on recently published studies from Berlin, key problems are identified and their significance highlighted in the context of international studies. Following these examples, steps are outlined with the objective of improving the detection of maternal death and improving women’s health.</p> Results <p>Maternal deaths in Germany are currently recorded solely through cause-of-death data provided on death certificates. Both inaccurate classification and the incomplete and inconsistent documentation of pregnancy status on death certificates lead to substantial underreporting of maternal deaths.</p> Conclusion <p>To reliably report maternal mortality in Germany in the future, the data quality of death certificate reporting should be improved. A&#xa0;registry for maternal mortality should be established in which routine data are supplemented by direct reporting and data linkage to other health data sources. Establishing a&#xa0;Maternal Mortality Review System would facilitate case-by-case analysis as well as the identification of potential risk factors and the development of <i>lessons learned</i>.</p>

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Müttersterblichkeit in Deutschland – Zwischen niedriger offizieller Ratio und systematischen Erfassungsdefiziten

  • 期刊论文

  • 发表日期：

    2026年3月9日

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  • Julia Callaghan,
  • Safiya Fatima Zaloum,
  • Lars Hellmeyer,
  • Joachim Wolfram Dudenhausen,
  • Klaus Vetter,
  • Martina Ziegert,
  • Thorsten Braun,
  • Josefine Theresia Königbauer

摘要

Background

The officially reported maternal mortality ratio for Germany is among the lowest worldwide; however, systematic reporting deficits cast doubt on the validity of these statistics.

Objective

To identify existing gaps in data collection and to explore evidence-based solutions.

Methods

Drawing on recently published studies from Berlin, key problems are identified and their significance highlighted in the context of international studies. Following these examples, steps are outlined with the objective of improving the detection of maternal death and improving women’s health.

Results

Maternal deaths in Germany are currently recorded solely through cause-of-death data provided on death certificates. Both inaccurate classification and the incomplete and inconsistent documentation of pregnancy status on death certificates lead to substantial underreporting of maternal deaths.

Conclusion

To reliably report maternal mortality in Germany in the future, the data quality of death certificate reporting should be improved. A registry for maternal mortality should be established in which routine data are supplemented by direct reporting and data linkage to other health data sources. Establishing a Maternal Mortality Review System would facilitate case-by-case analysis as well as the identification of potential risk factors and the development of lessons learned.