title: [Maternal mortality in the Rheinische Landesfrauenklinik Wuppertal from 1917 to 1979 (author's transl)].
abstract: From 1917 to 1979, the maternal mortality in the Rheinische Landesfrauenklinik Wuppertal has been investigated on the basis of 136084 live births. From 1917 to 1921, it was 10.1% and decreased to 0.16% in the period from 1973 to 1979. The maternal mortality in association with caesarean section, which was 11.8% in the period from 1917 to 1921 with a frequency of caesarean sections of 2.5%, decreased to zero since 1973 with a frequency of 6.3%. A caesarean section preceded more than 50% of the deaths since 1962. Most of the decreased (24.4%) were in the group of 30-34 years of age and 48.3% aged more than 30 years. 51.5% were primiparas and 14.6% of the women were at least para 4's. From 1917 to 1936, infection was the main cause of maternal mortality with 39.6%; from 1957 to 1966, however, thrombo-embolism advanced to the leading cause with 27.3%. Since 1960, 4 of 35 deaths were anaesthetic deaths. During all the examined periods, non-specific reasons of maternal mortality were an important factor with more than 30%.
mesh_terms: D000367:Age Factors; D002585:Cesarean Section / Q000401:mortality; D005260:Female; D005860:Germany, West; D006801:Humans; D008428:Maternal Mortality; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000401:mortality; D013923:Thromboembolism / Q000209:etiology
vernacular_title: Die Müttersterblichkeit in der Rheinischen Landes-frauenklinik Wuppertal von 1917 bis 1979.