| Psychosocial risk factors as contributors to pregnancy-associated death in Virginia, 1999-2001. | |
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MedLine Citation:
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PMID: 19558308 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To determine if substance abuse, mental illness, and domestic violence contributed to preventable pregnancy-associated death and to describe characteristics of women for whom these factors contributed to death. METHODS: The medical records of 121 women who had pregnancy-associated deaths in Virginia between 1999 and 2001 were reviewed. The incidence of substance abuse, mental illness, and domestic violence was noted during systematic review. Multidisciplinary review of cases was conducted to determine if these factors contributed to death and if reasonable changes may have prevented death. RESULTS: The pregnancy-associated maternal mortality ratio for women experiencing substance abuse, mental illness, or domestic violence as contributors to death was 17.1. Thus, for every 100,000 live births in Virginia, 17.1 women had at least one of these factors directly contribute to death. Substance abuse contributed to death in 28.9% of all cases reviewed (pregnancy-associated maternal mortality ratio = 12.2); 45.7% of those deaths were considered preventable. Mental illness contributed to death in 16.5% of cases (pregnancy-associated maternal mortality ratio = 6.9), with 50.0% considered preventable. Domestic violence contributed to death in 14.0% of cases (pregnancy-associated maternal mortality ratio = 5.9), with 64.7% of cases considered preventable. Median household incomes and years of education completed varied widely. Pregnancy-associated maternal mortality ratios for each factor were higher among African American women than among white women. CONCLUSIONS: Psychosocial risk assessment with appropriate referral should be completed for all women seeking care regardless of social status, education, or race. |
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Authors:
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Victoria M Kavanaugh; Marcella F Fierro; David E Suttle; Peter S Heyl; Stephen H Bendheim; Virginia Powell |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of women's health (2002) Volume: 18 ISSN: 1931-843X ISO Abbreviation: J Womens Health (Larchmt) Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2010-04-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101159262 Medline TA: J Womens Health (Larchmt) Country: United States |
Other Details:
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Languages: eng Pagination: 1041-8 Citation Subset: IM |
Affiliation:
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Virginia Department of Health, Office of the Chief Medical Examiner, Richmond, Virginia 23219, USA. Victoria.kavanaugh@vdh.virginia.gov |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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| Grant Support | |
ID/Acronym/Agency:
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BO4MCO4244/BO/FDA HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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