A return to maternal mortality studies: A necessary effort

Fox, Leon Parrish

doi:10.1016/s0002-9378(85)80146-0

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…These studies reported an incidence of maternal mortality 20 to 30% greater than that published in national vital statistics reports (Smith et al, 1984). The results of the present study are particularly disturbing because other investigators have found that two thirds to three quarters of maternal deaths are preventable (Fox, 1985). For example, a study of deaths from ectopic pregnancy in New York City between 1975 and 1980 found that 20% of the women who died were aware that they were pregnant and received no prenatal care; another 53% of the deaths occurred in women who had had contact with a physician within the month prior to their death but whose pregnancies remained undetected.…”

Section: Discussioncontrasting

confidence: 74%

“…Because the absolute number of maternal deaths per year in even a large city is relatively small and statistics based on small numbers can be misleading when calculated from year to year, we aggregated data for as many years as final statistics were available since 1979 (1979-1984). This method is consistent with that used by other investigators of maternal mortality (Kaunitz et al, 1984;Fox, 1985). Maternal death rates were calculated by dividing the number of maternal deaths by the number of live births in each city during the study period and multiplying by one hundred thousand.…”

Section: Methodsmentioning

confidence: 90%

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Preventing black maternal mortality: A challenge for the 90's

Siefert¹,

Martin²

1988

J Primary Prevent

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The authors studied maternal mortality in Chicago and Detroit from 1979 through 1984. The death rates for black women were more than four times the national rate for white women. Many of the conditions causing death were preventable. Since the general condition of the mother prior to pregnancy is a major influence on pregnancy outcome, accessible and high-quality prenatal care is a necessary but not sufficient preventive measure. If black maternal mortality is to be prevented, attention must be directed to the protection and promotion of black women's physical, mental and social well-being, and not just to their reproductive health.

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Section: Discussioncontrasting

confidence: 74%

Section: Methodsmentioning

confidence: 90%

Preventing black maternal mortality: A challenge for the 90's

Siefert¹,

Martin²

1988

J Primary Prevent

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“…This state commitment varies geographically and in many jurisdictions the reporting is voluntary. Efforts of this type were encouraged in order to develop a national database to obtain a broad based case accumulation to act as the spring board to strive to decrease and eliminate preventable maternal deaths (10). It is implicit that the state government departments of public health are mandated to protect and improve the health of the public and can utilize factual information with the authority to implement policies and procedures to improve public health.…”

Section: Discussionmentioning

confidence: 99%

Does maternal obesity impact pregnancy-related deaths? Michigan experience

Mariona

2016

The Journal of Maternal-Fetal & Neonatal Medicine

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Obesity is a multifactorial non-communicable condition that has become a public health epidemic worldwide. The Fifth Millennium Development Goal established the goal of a 75% reduction in the maternal mortality ratio (MMR) between 1990 and 2015. Maternal mortality has been difficult to track over time. Obesity affects pregnancy in more than 50% of women of reproductive age in the state of Michigan; the potential impact of maternal obesity and pregnancy-related deaths (PRDs) has not been studied in Michigan. We conducted a secondary analysis of maternal death cases originally reviewed by the Michigan Maternal Mortality Review Committee from 2004 to 2006 seeking to evaluate the impact of maternal obesity on PRD. Two hundred and five maternal deaths occurred during the period of the study, 61 were classified as PRD. The observed occurrence of PRDs in the obese population was 36 cases while in the non-obese was 25 cases. The study showed a 3.7× risk of PRD in the obese parturient.

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“…In most instances, deaths occur from avoidable factors, such as infection, hemorrhage, anemia and obstructed labor [1][2][3][4][5][6][7][8]. These factors have been reduced to a minimum, or even eliminated in the developed world [9][10][11][12][13]. …”

mentioning

confidence: 99%

Maternal Deaths at the Armed Forces Hospital, Riyadh 1978-1989

Algwiser

1991

Ann Saudi Med

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An analysis of 11 maternal deaths during a period of 11 years, from December 1, 1978 to December 31, 1989, is presented. During this period there was a total of 42,265 maternities with a maternal mortality rate of 26 per 100,000 maternities. Three maternal deaths were attributed to "direct" obstetric causes, and eight deaths to "associated" causes. Hemorrhage was the leading cause of direct and indirect maternal deaths (4 cases), followed by cardiac disease (3 cases). The availability of antibiotics and blood transfusion, together with frequent morbidity and mortality meetings, have helped significantly to keep the incidence of maternal deaths from obstetric causes to the minimum and to eliminate abortion, infection, ectopic pregnancy, and molar gestation as causes of maternal death. Our particular concern is the high rate of preventable factors contributing to maternal mortality. These were present in 9 of the 11 maternal deaths. Greater effort is necessary to identify those patients with conditions that predispose to maternal death and to provide the appropriate care to reduce mortality to the absolute minimum. A step in the right direction would be the establishment of a National Maternity Mortality Survey to provide the data and information necessary for identifying and assessing the preventable factors contributing to maternal deaths. Hospital, Riyadh 1978-1989. 1991 11(5): 556-562 The maternal mortality rate is an important index in the evaluation of the level of medical care, especially obstetrical and gynecological, rendered to a given community. The high maternal mortality rate is still a major concern in developing countries. In most instances, deaths occur from avoidable factors, such as infection, hemorrhage, anemia and obstructed labor [1][2][3][4][5][6][7][8]. These factors have been reduced to a minimum, or even eliminated in the developed world [9][10][11][12][13]. A Algwiser, Maternal Deaths at the Armed ForcesSaudi Arabia is a developing country which has made a great effort to improve both maternal and child health services. This has led to a remarkable reduction in maternal and infant mortality and morbidity rates. However, the major problem in assessing such progress is the lack of statistics from most areas of the Kingdom. The few reports published [15,16] on maternal deaths are hospital-based and the findings are, therefore, not representative for the country as a whole. The review presented here is also hospital-based. Causes of maternal death, condition upon admission, associated risk, and avoidable factors are discussed and preventive measures recommended. Hospital, Riyadh 1978-1989 Annals of Saudi Medicine, Vol 11 No. 5; 1991 Maternal Deaths at the Armed Forces Material and MethodsThe study population consisted of women consecutively admitted to the Armed Forces Hospital in Riyadh. These women were pregnant or within 42 days of termination of pregnancy. The period covered was 11 years, from December 1, 1978 to December 31, 1989. A maternal death is defined as the death of a woma...

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A return to maternal mortality studies: A necessary effort

Cited by 5 publications

References 9 publications

Preventing black maternal mortality: A challenge for the 90's

Preventing black maternal mortality: A challenge for the 90's

Does maternal obesity impact pregnancy-related deaths? Michigan experience

Maternal Deaths at the Armed Forces Hospital, Riyadh 1978-1989

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