| Pregnancy-related death and health care services. | |
| | |
MedLine Citation:
|
PMID: 12907099 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To examine the association between health care services variables and pregnancy-related death using a contemporary geographically defined population and enhanced methods for case identification. METHODS: This is a population-based, case-control study from North Carolina for the 7-year period 1992-1998. Pregnancy-related deaths after a live birth (n = 118) were identified after review of pregnancy-associated deaths (n = 400) ascertained from death certificate codes and linkage of birth and death files. Controls (n = 3697) were randomly selected from all registered live births for the same 7-year period and were not matched with cases. This sample size was sufficient to ensure that the standard errors for subgroup prevalences were less than 1%. The associations between pregnancy-related death and health care services were explored with univariate and multivariable regression analysis. RESULTS: Neither maternity care coordination nor nutritional services were protective. There was no association with source of care, private versus public. The adjusted odds ratio (OR) for pregnancy-related death associated with cesarean delivery was 3.9 (95% confidence interval [CI] 2.5, 6.1). The adjusted OR for pregnancy-related death associated with the receipt of prenatal care was 0.2 (95% CI 0.1, 0.6). CONCLUSION: Removing barriers to and actively promoting use of prenatal care services and decreasing the rate of cesarean deliveries could decrease the number of pregnancy-related deaths. |
| | |
Authors:
|
Margaret A Harper; Robert P Byington; Mark A Espeland; Michelle Naughton; Robert Meyer; Kathy Lane |
Related Documents
:
|
7537709 - Aetiology of late fetal death in maputo. 437619 - A suicide by ingestion of a mixture of copper, chromium and arsenic compounds. 11350709 - Perinatal risk for mortality and mental retardation associated with maternal urinary-tr... 1173879 - Corticosteroid therapy for the pregnant asthmatic patient. 17274999 - Maternal mortality, stillbirth and measures of obstetric care in developing and develop... 10214399 - Risk factors for maternal mortality: a case-control study in dakar hospitals (senegal). 3397939 - Pregnancy-specific protein b, progesterone concentrations and embryonic mortality durin... 8491239 - Single dose pharmacokinetics of proguanil and its metabolites in pregnancy. 7593509 - Do patients need to remain in bed following embryo transfer? the birmingham experience ... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 102 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2003 Aug |
Date Detail:
|
Created Date: 2003-08-08 Completed Date: 2003-08-29 Revised Date: 2009-10-26 |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
|
Languages: eng Pagination: 273-8 Citation Subset: AIM; IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. mharper@wfubmc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Case-Control Studies Cesarean Section / mortality Female Humans Maternal Mortality* North Carolina / epidemiology Odds Ratio Prenatal Care* Regression Analysis |
| Grant Support | |
ID/Acronym/Agency:
|
5K12HD01267/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cross-sectional study of patient- and physician-collected cervical cytology and human papillomavirus...
Next Document: Effect of motor vehicle crashes on adverse fetal outcomes.