Document Detail


Pregnancy-related mortality surveillance--United States, 1987-1990.
MedLine Citation:
PMID:  9259215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PROBLEM/CONDITION: The Healthy People 2000: National Health Promotion and Disease Prevention Objectives specifies goals of no more than 3.3 maternal deaths per 100,000 live births overall and no more than 5.0 maternal deaths per 100,000 live births among black women; as of 1990, these goals had not been met. In addition, race-specific differences between black women and white women persist in the risk for pregnancy-related death.
REPORTING PERIOD COVERED: This report summarizes surveillance data for pregnancy-related deaths in the United States for 1987-1990.
DESCRIPTION OF SYSTEM: The National Pregnancy Mortality Surveillance System was initiated in 1988 by CDC in collaboration with the CDC/American College of Obstetricians and Gynecologists Maternal Mortality Study Group. Health departments in the 50 states, the District of Columbia, and New York City provided CDC with copies of death certificates and available linked outcome records (i.e., birth certificates or fetal death records) of all identified pregnancy-related deaths.
RESULTS: During 1987-1990, 1,459 deaths were determined to be pregnancy-related. The overall pregnancy-related mortality ratio was 9.2 deaths per 100,000 live births. The pregnancy-related mortality ratio for black women was consistently higher than for white women for every risk factor examined by race. The disparity between pregnancy-related mortality ratios for black women and white women increased from 3.4 times greater in 1987 to 4.1 times greater in 1990. Older women, particularly women aged > or =35 years, were at increased risk for pregnancy-related death. The gestational age-adjusted risk for pregnancy-related death was 7.7 times higher for women who received no prenatal care than for women who received "adequate" prenatal care. The distribution of the causes of death differed depending on the pregnancy outcome; for women who died following a live birth (i.e., 55% of the deaths), the leading causes of death were pregnancy-induced hypertension complications, pulmonary embolism, and hemorrhage.
INTERPRETATION: Pregnancy-related mortality ratios for black women continued, as noted in previously published surveillance reports, to be three to four times higher than those for white women. The risk factors evaluated in this analysis confirmed the disparity in pregnancy-related mortality between white women and black women, but the reason(s) for this difference could not be determined from the available information.
ACTIONS TAKEN: Continued surveillance and additional studies should be conducted to assess the magnitude of pregnancy-related mortality, to identify those differences that contribute to the continuing race-specific disparity in pregnancy-related mortality, and to provide information that policy makers can use to develop effective strategies to prevent pregnancy-related mortality for all women.
Authors:
L M Koonin; A P MacKay; C J Berg; H K Atrash; J C Smith
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  MMWR. CDC surveillance summaries : Morbidity and mortality weekly report. CDC surveillance summaries / Centers for Disease Control     Volume:  46     ISSN:  -     ISO Abbreviation:  MMWR CDC Surveill Summ     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-08-21     Completed Date:  1997-08-21     Revised Date:  2012-03-29    
Medline Journal Info:
Nlm Unique ID:  8407977     Medline TA:  MMWR CDC Surveill Summ     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  17-36     Citation Subset:  IM    
Affiliation:
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cause of Death
Female
Humans
Middle Aged
Population Surveillance
Pregnancy
Pregnancy Complications / mortality*
Pregnancy Outcome
Prenatal Care
Socioeconomic Factors
United States / epidemiology

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


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