Document Detail

Maternal deaths due to homicide and other injuries in North Carolina: 1992-1994.
MedLine Citation:
PMID:  9397103     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the role of homicide and other injuries in maternal deaths in North Carolina over the three-year period from 1992 through 1994. METHODS: Maternal deaths were identified from death certificates that indicated a maternal death and through an enhanced surveillance system that matches death certificates with live-birth and fetal-death certificates. Deaths were classified as direct, indirect, medically unrelated, or injury-related. Patterns of prenatal care were ascertained from the matching live-birth or fetal-death certificates. Maternal death rates for whites and nonwhites were calculated. RESULTS: The most common cause of maternal death was injury, accounting for 62 of the 167 deaths (37%). Homicide was the most common cause of injury-related death (35.5%). The relative risk of maternal death for nonwhites compared with whites was 1.8 (95% confidence interval [CI] 1.6, 2.1). Similarly, their relative risk for injury-related maternal death was 1.7 (95% CI 1.4, 2.2). CONCLUSION: It is essential to include an analysis of injury-related deaths in maternal mortality reporting. As the most common cause of maternal deaths, injury is not limited to densely populated, metropolitan areas. Counseling regarding injury prevention, domestic violence, and depression should be a part of both prenatal and postpartum care.
M Harper; L Parsons
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  90     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1997-12-30     Completed Date:  1997-12-30     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  920-3     Citation Subset:  AIM; IM    
Wake Forest University, Bowman Gray School of Medicine, Winston-Salem, North Carolina, USA.
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MeSH Terms
Cause of Death / trends*
Continental Population Groups
Death Certificates
Homicide / prevention & control,  statistics & numerical data,  trends*
Marital Status
Maternal Mortality / trends*
North Carolina / epidemiology
Population Surveillance
Prenatal Care
Risk Factors
Wounds and Injuries / mortality*,  prevention & control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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