Maternal Mortality in Utah

Jacob, Scott; Bloebaum, Lois; Shah, Gulzar H.; Varner, Michael W.

doi:10.1016/s0029-7844(97)00664-9

Cited by 38 publications

(10 citation statements)

References 19 publications

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“…In recent years, pulmonary embolism has surpassed infection, hemorrhage, and preeclampsia-eclampsia to become a leading cause of maternal mortality in the United States (5)(6)(7)(8). This change in epidemiology likely reflects both an increase in the diagnosis of venous thromboembolic disease due to improved diagnostic methods and improvements in the medical management of infection, hemorrhage, and preeclampsia-eclampsia, more than an increase in the incidence of venous thromboembolic disease.…”

mentioning

confidence: 99%

Pulmonary embolism during and after pregnancy

Stone

Morris²

2005

Critical Care Medicine

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confidence: 99%

Pulmonary embolism during and after pregnancy

Stone

Morris²

2005

Critical Care Medicine

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“…Among external causes of these deaths, car crashes dominate. [1][2][3][4] They are also a leading cause of fetal deaths associated with maternal trauma. 5 Seatbelt use is recommended for pregnant women because it reduces fatal risks for the women and their fetuses in car crashes.…”

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confidence: 99%

Car seatbelt use during pregnancy in Japan: determinants and policy implications

Ichikawa

2003

Inj Prev

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Context: Pregnant women are exempted from the current seatbelt legislation in Japan despite the fact that seatbelt use is essential to reduce the risk of fatalities for these women and their fetuses in car crashes. Objective: To examine factors that might influence seatbelt use during pregnancy. Methods: A cross sectional study, with data collected via an anonymous, self administered questionnaire at obstetric clinics in suburban areas of Japan. Altogether 880 pregnant women receiving prenatal care in July 2001 were recruited. The relative effects of factors that might influence seatbelt use during pregnancy were estimated using logistic regression analysis. Results: Almost 70%-80% of pregnant women were consistent seatbelt wearers before pregnancy but seatbelt compliance was reduced by about half at 20 weeks or more gestation. Only 20% had received information on maternal seatbelt use, with one third reporting that seatbelt use is beneficial during pregnancy. Those who perceived that maternal seatbelt use is beneficial tended to maintain use, but daily car users and those who knew that they were exempted from seatbelt legislation were more likely to reduce use. Conclusions: Knowledge of the legislative exemption for pregnant women, misunderstanding of the benefits, and daily car use contributed to the reduction in seatbelt use after pregnancy.M aternal deaths as a result of traumatic injuries are becoming more prominent owing to the reduction of maternal mortality from other causes. Among external causes of these deaths, car crashes dominate.1-4 They are also a leading cause of fetal deaths associated with maternal trauma. 5Seatbelt use is recommended for pregnant women because it reduces fatal risks for the women and their fetuses in car crashes.6-8 Studies outside of Japan suggest that seatbelt compliance increases during pregnancy. 10Reasons for not wearing seatbelts include discomfort, fear of harming the fetus, forgetfulness, or habitual non-use. Non-seatbelt wearers were less likely to have received information on maternal seatbelt use and tended to misunderstand its benefits. 11 12Seatbelt use during pregnancy has gone unnoticed in Japan because expectant mothers are exempted from seatbelt legislated requirements. 13 This policy is in contrast to many other industrialized countries. Alongside other factors known to be associated with low seatbelt compliance-for example, age (younger), education (lower), socioeconomic status (lower), seating location (passengers), and annual distance traveled (longer)-there is likely to be reduced use during pregnancy. [14][15][16][17][18][19] The relative effects of factors affecting seatbelt use at this time need to be estimated when planning effective seatbelt promotion aimed at expectant mothers.In this study we investigated seatbelt use among pregnant women as drivers and front seat passengers and estimated the effects of factors that might influence seatbelt use during pregnancy. METHODSThe study site was Mito City, the capital of Ibaraki Prefecture and situated abo...

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“…In addition, the occurrence of only one such event would trigger an investigation. For example, given that maternal death in industrialised countries is rare and often preventable by good healthcare, [26] maternal mortality lacks sensitivity as a marker for the quality of obstetrical care. Nevertheless, sentinel event analysis of maternal deaths should be a critical component of local efforts to improve quality assurance and the quality of care.…”

Section: Discussionmentioning

confidence: 99%

Quality Indicators for Continuous Monitoring to Improve Maternal and Infant Health in Maternity Departments: A Modified Delphi Survey of an International Multidisciplinary Panel

et al. 2013

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ObjectiveMeasuring the quality of inpatient obstetrical care using quality indicators is becoming increasingly important for both patients and healthcare providers. However, there is no consensus about which measures are optimal. We describe a modified Delphi method to identify a set of indicators for continuously monitoring the quality of maternity care by healthcare professionals.Methodology and Main FindingsAn international French-speaking multidisciplinary panel comprising 22 obstetricians-gynaecologists, 12 midwives, and 1 paediatrician assessed potential indicators extracted from a medical literature search, using a two-round Delphi procedure followed by a physical meeting. Each panellist rated each indicator based on validity and feasibility. In the first round, 35 panellists from 5 countries and 20 maternity units evaluated 26 indicators including 15 related to the management of the overall population of pregnant women, 3 to the management of women followed from the first trimester of pregnancy, 2 to the management of low-risk pregnant women, and 6 to the management of neonates. 25 quality indicators were kept for next step. In the second round, 27 (27/35: 77%) panellists selected 17 indicators; the remaining 8 indicators were discussed during a physical meeting. The final set comprised 18 indicators.ConclusionA multidisciplinary panel selected indicators that reflect the quality of obstetrical care. This set of indicators could be used to assess and monitor obstetrical care, with the goal of improving the quality of care in maternity units.

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Maternal Mortality in Utah

Cited by 38 publications

References 19 publications

Pulmonary embolism during and after pregnancy

Pulmonary embolism during and after pregnancy

Car seatbelt use during pregnancy in Japan: determinants and policy implications

Quality Indicators for Continuous Monitoring to Improve Maternal and Infant Health in Maternity Departments: A Modified Delphi Survey of an International Multidisciplinary Panel

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