title: Maternal mortality and severe maternal morbidity from acute fatty liver of pregnancy in the Netherlands.
abstract: OBJECTIVE
  To assess maternal death and severe maternal morbidity from acute fatty liver of pregnancy (AFLP) in the Netherlands.
  
  
  METHODS
  A retrospective study of all cases of maternal mortality in the Netherlands between 1983 and 2006 and all cases of severe maternal morbidity in the Netherlands between 2004 and 2006, in which all 98 maternity units in the Netherlands participated. Maternal mortality ratio (MMR) and incidence of severe maternal morbidity were the main outcome measures.
  
  
  RESULTS
  The MMR from direct maternal mortality from AFLP was 0.13 per 100,000 live births (95% CI 0.05-0.29). The incidence of severe maternal morbidity from AFLP was 3.2 per 100,000 deliveries (95% CI 1.8-5.7).
  
  
  CONCLUSIONS
  AFLP is a rare condition which still causes severe maternal morbidity and in some cases mortality. Referral to a tertiary care hospital for treatment of this uncommon disease should be considered.
authors: Department of Obstetrics and Gynaecology, Isala Klinieken Zwolle, Zwolle, The Netherlands. rrdekker@home.nl
authors: Ruth R
authors: RR
authors: Dekker
authors: Joke M
authors: JM
authors: Schutte
authors: Jelle
authors: J
authors: Stekelenburg
authors: Joost J
authors: JJ
authors: Zwart
authors: Jos
authors: J
authors: van Roosmalen
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005234:Fatty Liver / Q000453:epidemiology* / Q000401:mortality* / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D015994:Incidence; D008428:Maternal Mortality; D009017:Morbidity; D009426:Netherlands / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000401:mortality* / Q000503:physiopathology / Q000628:therapy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D012720:Severity of Illness Index