{"id":676,"date":"2024-06-27T23:24:11","date_gmt":"2024-06-27T21:24:11","guid":{"rendered":"https:\/\/encmm.inserm.fr\/?page_id=676"},"modified":"2025-01-07T12:43:41","modified_gmt":"2025-01-07T11:43:41","slug":"the-encmm","status":"publish","type":"page","link":"https:\/\/encmm.inserm.fr\/en\/the-encmm\/","title":{"rendered":"The ENCMM"},"content":{"rendered":"\n

History of the ENCMM<\/strong><\/h4>\n\n\n\n
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Maternal mortality, despite its rarity in wealthy countries, is a fundamental indicator not only of health but also of the quality of the healthcare system in general, and perinatal care in particular. It is considered to be a \u2018sentinel event\u2019, the occurrence of which is indicative of dysfunctions, often cumulative, in the healthcare system. In addition to the classic epidemiological surveillance findings – number of deaths, maternal mortality ratio, distribution of medical causes, sub-groups of women at risk – its study makes it possible, through a precise analysis of the history of each woman who dies, to highlight areas for improvement in the content or organisation of care, the correction of which will make it possible to prevent deaths as well as upstream morbid events involving the same mechanisms. The maternal mortality profile therefore provides information not only on the risk attributable to pregnancy and childbirth, but also on the performance of the healthcare system.
To achieve this epidemiological and clinical audit objective, an enhanced ad hoc system is necessary and recommended by international bodies, because routine vital mortality statistics, derived from analysis of the contents of death certificates, do not allow a satisfactory assessment of maternal mortality – significant under-estimation, biased profile of causes, lack of information on the care pathway -.<\/p>\n\n\n\n

In recognition of this need, the Enqu\u00eate Nationale Confidentielle sur les Morts Maternelles en France (National Confidential Enquiry into Maternal Deaths in France) was set up, at the instigation of INSERM epidmiologists and professional societies of obstetrics clinicians (national college of ObGyn \u2013CNGOF- and national society of anesthesia and intensive care \u2013SFAR-), with strong initial support from the public authorities. The decree issued by the Ministry of Health (founding decree, J.O. 2 May 1995) gave it the task of examining maternal deaths, identifying the factors involved in these deaths and proposing preventive measures.<\/p>\n\n\n\n

Since 1996, the Enqu\u00eate Nationale Confidentielle sur les Morts Maternelles (ENCMM) has been carried out continuously in France. Scientific responsibility for and coordination of this ongoing system was initially entrusted to INSERM unit 149, which became Unit 953, then U1153 team EPOP\u00e9 (Obstetrical Perinatal and Paediatric Epidemiology) since 2014.
The ENCMM system was initially inspired by the pioneering example of the United Kingdom, where a confidential survey of maternal deaths has existed for seventy years. However, the current organisation is the result of changes to the system, adapted to the French national context.<\/p>\n<\/div>\n\n\n\n

Since 1998, the ENCMM has recorded 1,800 maternal deaths throughout France.<\/p><\/blockquote><\/figure>\n\n\n\n

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> The ENCMM, an essential tool in the study of maternal mortality in France over the last twenty-five years<\/strong><\/p>\n\n\n\n