Short TakesThe Impact of Reclassifying Suicides in Pregnancy and in the Postnatal Period on Maternal Mortality RatiosLommerse, K.; Knight, M.; Nair, M.; Deneux-Tharaux, C.; van den Akkerb, T.Author Information Department of Psychiatry, Haaglanden Medical Centre, The Hague, The Netherlands Obstetric Anesthesia Digest: June 2020 - Volume 40 - Issue 2 - p 112 doi: 10.1097/01.aoa.0000661532.66948.7e Buy Metrics Abstract (BJOG. 2019;126:1088–1092) As lowering maternal mortality rates continues to be a global priority, attention should be given to maternal mental health care. UK experts estimate half of all maternal suicides could have been prevented by better care. The World Health Organization in 2012 introduced the International Classification of Diseases for Maternal Mortality, which changed all suicides in pregnancy and up to 12 months postpartum to be classifed as a direct obstetric death. This recommendation was meant to reduce underreporting, but some countries have raised concerns that some of these deaths should be regarded as “indirect” obstetric deaths, as many women who die by suicide had mental illness before pregnancy. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.