Document Detail


The continuum of maternal morbidity and mortality: factors associated with severity.
MedLine Citation:
PMID:  15467568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The goal of this study was to examine whether sociodemographic, clinical, and other service-related factors, as well as preventability issues affect a woman's progression along the continuum of morbidity and mortality. STUDY DESIGN: This was a case-control study of pregnancy-related deaths, women with near-miss morbidity, and those with other severe, but not life threatening, morbidity. Factors associated with maternal outcome were examined. RESULTS: Provider factors (related to preventability) and clinical diagnosis were significantly associated with progression along the continuum after controlling for sociodemographic characteristics (P < .01 for both associations). CONCLUSION: In order to improve mortality rates, we must understand maternal morbidity and how it may lead to death. This study shows that important initiatives include addressing preventability, in particular, provider factors, which may play a role in moving women along the continuum of morbidity and mortality.
Authors:
Stacie E Geller; Deborah Rosenberg; Suzanne M Cox; Monique L Brown; Louise Simonson; Catherine A Driscoll; Sarah J Kilpatrick
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  191     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-10-06     Completed Date:  2004-11-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  939-44     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, College of Medicine, University of Illinois at Chicago, 60612, USA. sgeller@uic.edu
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MeSH Terms
Descriptor/Qualifier:
Case-Control Studies
Continental Population Groups
Ethnic Groups
Female
Humans
Insurance, Health
Marital Status
Maternal Mortality*
Morbidity*
Odds Ratio
Parity
Pregnancy
Pregnancy Complications / diagnosis,  prevention & control
Uterine Hemorrhage / diagnosis,  mortality

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


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