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Pregnancy-Related Mortality in the United States, 2011-2013.
- Source :
-
Obstetrics & Gynecology . Aug2017, Vol. 130 Issue 2, p366-373. 8p. - Publication Year :
- 2017
-
Abstract
- <bold>Objective: </bold>To update national population-level pregnancy-related mortality estimates and examine characteristics and causes of pregnancy-related deaths in the United States during 2011-2013.<bold>Methods: </bold>We conducted an observational study using population-based data from the Pregnancy Mortality Surveillance System to calculate pregnancy-related mortality ratios by year, age group, and race-ethnicity groups. We explored 10 cause-of-death categories by pregnancy outcome during 2011-2013 and compared their distribution with those in our earlier reports since 1987.<bold>Results: </bold>The 2011-2013 pregnancy-related mortality ratio was 17.0 deaths per 100,000 live births. Pregnancy-related mortality ratios increased with maternal age, and racial-ethnic disparities persisted with non-Hispanic black women having a 3.4 times higher mortality ratio than non-Hispanic white women. Among causes of pregnancy-related deaths, the following groups contributed more than 10%: cardiovascular conditions ranked first (15.5%) followed by other medical conditions often reflecting pre-existing illnesses (14.5%), infection (12.7%), hemorrhage (11.4%), and cardiomyopathy (11.0%). Relative to the most recent report of Pregnancy Mortality Surveillance System data for 2006-2010, the distribution of cause-of-death categories did not change considerably. However, compared with serial reports before 2006-2010, the contribution of hemorrhage, hypertensive disorders of pregnancy, and anesthesia complications declined, whereas that of cardiovascular and other medical conditions increased (population-level percentage comparison).<bold>Conclusion: </bold>The pregnancy-related mortality ratio and the distribution of the main causes of pregnancy-related mortality have been relatively stable in recent years. [ABSTRACT FROM AUTHOR]
- Subjects :
- *MATERNAL mortality
*MORTALITY
*DEATH rate
*MASS surveillance
*OBSTETRICIANS
*ABORTION
*BLACK people
*CARDIOVASCULAR diseases in pregnancy
*CAUSES of death
*ECTOPIC pregnancy
*ETHNIC groups
*HISPANIC Americans
*MATERNAL age
*EVALUATION of medical care
*MISCARRIAGE
*PERINATAL death
*PREGNANCY
*PREGNANCY complications
*PUERPERAL disorders
*RESEARCH funding
*WHITE people
Subjects
Details
- Language :
- English
- ISSN :
- 00297844
- Volume :
- 130
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Obstetrics & Gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 124311200
- Full Text :
- https://doi.org/10.1097/AOG.0000000000002114