The effect of obstetric management and factors beyond clinical control on maternal mortality rates at the Chicago Maternity Center from 1959 to 1963
| Autor: | Harry B.W. Benaron, Beatrice E. Tucker |
|---|---|
| Rok vydání: | 1971 |
| Předmět: |
medicine.medical_specialty
Pediatrics Pneumonia Viral Population Prenatal care Labor Presentation Pre-Eclampsia Uterine Rupture Pregnancy Ethnicity Humans Medicine Maternal Health Services Obesity Pregnancy Complications Infectious education Poverty Chicago education.field_of_study Cesarean Section business.industry Obstetrics Mortality rate Pregnancy Complications Hematologic Obstetrics and Gynecology Prenatal Care Pneumonia Pneumococcal Appendicitis Delivery Obstetric Obstetric Labor Complications Pregnancy Complications Parity Maternal Mortality Socioeconomic Factors Tuberculosis Meningeal Exogenous obesity Female Autopsy business |
| Zdroj: | American Journal of Obstetrics and Gynecology. 110:1113-1118 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/0002-9378(71)90310-3 |
| Popis: | This 5 year survey of maternal mortality rates covers 16,087 consecutive births, 89 per cent at home and 11 per cent in a hospital. Nonsurvival is related to medical indigency, race, exogenous obesity, lack of prenatal care, grandmultiparity, and absence of medical attendants at delivery. The total number of deaths was 9.5 per 10,000 live births. Four of 7 direct deaths were catastrophic emergencies, unregistered or medically unattended, and left no choice for management. A review of management revealed that among 412 cesarean sections, there were 2 deaths, each direct (0.5 per cent). Of 1,316 operative vaginal deliveries, there were 441 major manipulative procedures with no related death. High risk is inherent in a medically indigent population; the related high loss at cesarean section, in contrast to the patients' excellent tolerance for delivery from below, makes it mandatory that trainees acquire the judgment and skill necessary in the use of major manipulative vaginal procedures. |
| Databáze: | OpenAIRE |
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