An Update on Maternal Mortality and Morbidity in the United States

Edwards, Joan E.; Hanke, J

doi:10.1111/1751-486x.12061

Cited by 6 publications

(7 citation statements)

References 10 publications

(30 reference statements)

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“…To address these situations the CDC uses the definition of pregnancy-associated death. It identifies women that died from any cause while pregnant or within 12 months after the end of her pregnancy, regardless the duration or site of the pregnancy (8). This definition doesn't require linking the pregnancy to a cause of death, even though it provides adequate timeframe and therefor it may be helpful to capture data especially in developing countries where medical records are not always available or adequate.…”

Section: Measuring and Defining Maternal Mortalitymentioning

confidence: 99%

“…Within the U.S. the leading causes of maternal mortality include thromboembolism, hemorrhage, pre-eclampsia and eclampsia, infection and cardiomyopathy (8). The frequency of thromboembolism in pregnant or postpartum patients caused this serious medical condition to become the leading cause of maternal mortality in the U.S.…”

Section: Causes Of Maternal Mortalitymentioning

confidence: 99%

“…Besides direct patient care, nurses have the additional potential to improve maternal mortality. They can advocate locally for improvements in prevention of maternal mortality and gain governmental attention (8). In addition nurses can educate women on risks associated with maternal mortality and morbidity.…”

Section: Relevance To Leadership and Advanced Practice Nursingmentioning

confidence: 99%

“…In addition nurses can educate women on risks associated with maternal mortality and morbidity. Finally nurses with in the U.S. have the opportunity to lobby within their states for creation of Maternal Mortality Review Boards (8). Globally, healthcare leaders need to insure improvement and development of social welfare programs.…”

Section: Relevance To Leadership and Advanced Practice Nursingmentioning

confidence: 99%

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Pregnancy Related Maternal Mortality - Contemporary Perspectives

Holmquist¹,

Boštíková²

2019

Mil. Med. Sci. Lett.

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Pregnancy related maternal mortality defines the state of maternal health. The increasing incidence of maternal death in the U.S indicates that this complex issue is not unique only to developing countries. It is obvious that improvements are needed to reinsure appropriate healthcare for all pregnant women. Without precise methodical data collection and data evaluation advancement of this important determinant of maternal health can't be achieved. The aim of this paper is to provide contemporary perspective on pregnancy related maternal mortality. In addition, this paper will discuss common ethnical disparities that underline maternal deaths. Furthermore, this paper will address the confusing inconsistencies of maternal death terminology and variations in disease classification. Finally, this paper will propose improvements in defining terminology and data collection that influence the understanding of pregnancy related morbidity. Quick Points 1. Maternal mortality is a determining characteristic of existing maternal health in a given geographical region. 2. While it is impossible to completely eliminate all maternal deaths, preventable pregnancy complications resulting in injury or death need to be reduced across the world. 3. Healthcare leaders need to work on identification of maternal mortality trends and development of strategies to sustainably improve rates of maternal mortality.

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Section: Measuring and Defining Maternal Mortalitymentioning

confidence: 99%

Section: Causes Of Maternal Mortalitymentioning

confidence: 99%

Section: Relevance To Leadership and Advanced Practice Nursingmentioning

confidence: 99%

Section: Relevance To Leadership and Advanced Practice Nursingmentioning

confidence: 99%

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Pregnancy Related Maternal Mortality - Contemporary Perspectives

Holmquist¹,

Boštíková²

2019

Mil. Med. Sci. Lett.

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“…Studies suggest that between 20%–50% of these maternal deaths were preventable [ 13 ]. The top five causes of maternal mortality were embolism, hemorrhage, preeclampsia and eclampsia, infection, and cardiomyopathy [ 14 ]. Tucker et al [ 11 ] examined the prevalence of common pregnancy complications and associated fatality rates.…”

Section: Introductionmentioning

confidence: 99%

Using an External Exposome Framework to Examine Pregnancy-Related Morbidities and Mortalities: Implications for Health Disparities Research

Oyana

Matthews-Juarez

Cormier

et al. 2015

IJERPH

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Objective: We have conducted a study to assess the role of environment on the burden of maternal morbidities and mortalities among women using an external exposome approach for the purpose of developing targeted public health interventions to decrease disparities. Methods: We identified counties in the 48 contiguous USA where observed low birthweight (LBW) rates were higher than expected during a five-year study period. The identification was conducted using a retrospective space-time analysis scan for statistically significant clusters with high or low rates by a Discrete Poisson Model. Results: We observed statistically significant associations of LBW rate with a set of predictive variables. However, in one of the two spatiotemporal models we discovered LBW to be associated with five predictive variables (teen birth rate, adult obesity, uninsured adults, physically unhealthy days, and percent of adults who smoke) in two counties situated in Alabama after adjusting for location changes. Counties with higher than expected LBW rates were similarly associated with two environmental variables (ozone and fine particulate matter). Conclusions: The county-level predictive measures of LBW offer new insights into spatiotemporal patterns relative to key contributory factors. An external framework provides a promising place-based approach for identifying “hotspots” with implications for designing targeted interventions and control measures to reduce and eliminate health disparities.

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