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The European Region has made substantial progress in improving maternal health, with an
average official reported maternal mortality rate of 11 per 100 000 live births in 2014.o According to the latest official data available, maternal mortality rate is approximately 4 per
100 000 live births in countries of the European Union, while the official reported average in
countries of the Commonwealth of Independent States is 16 per 100 000 live births (Fig.Maternal mortality estimations per 100 000
live births have declined over the period 2000 to 2015, from 33 to 16, and a wider gap has been
identified between countries (7).However,
data should be interpreted carefully, since regional averages frequently hide substantial variations
both within and between countries.Underascertainment of deaths is evident from comparisons with
studies using enhanced identification of deaths (6).Consequently, maternal mortality rates vary depending
on the data source used.1) (5).


Original text

The European Region has made substantial progress in improving maternal health, with an
average official reported maternal mortality rate of 11 per 100 000 live births in 2014. However,
data should be interpreted carefully, since regional averages frequently hide substantial variations
both within and between countries.
• According to the latest official data available, maternal mortality rate is approximately 4 per
100 000 live births in countries of the European Union, while the official reported average in
countries of the Commonwealth of Independent States is 16 per 100 000 live births (Fig. 1) (5).
• In addition to variation between countries, there are indications of misclassification of causes of
death in some countries of the Region. Consequently, maternal mortality rates vary depending
on the data source used. Underascertainment of deaths is evident from comparisons with
studies using enhanced identification of deaths (6). Maternal mortality estimations per 100 000
live births have declined over the period 2000 to 2015, from 33 to 16, and a wider gap has been
identified between countries (7).
• Maternal deaths represent only a small fraction of the burden of maternal morbidity (8). For every
women who dies of pregnancy-related causes, 20–30 women experience acute or chronic
morbidity, influencing her further life-course (8,9).
• Unmet contraception needs are directly linked to the quality of health services and, therefore,
of maternal health services. Unmet family planning needs differ widely across the European
Region, from 5% to nearly 23% (10). (For more information, see the Fact sheet on sexual and
reproductive health.)
• Progress has been made with the expansion of coverage for essential interventions in
reproductive, maternal, neonatal, child and adolescent health in the WHO European Region.
However, data show that there is still some scope for improving coverage further, particularly in
relation to breastfeeding (11)


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