An assessment of pregnancy-related mortality in the United States
| Autor: | Catherine Duran, Cynthia J. Berg, Harry M. Rosenberg, Jeani Chang, Andrea P. MacKay |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Time Factors Complications of pregnancy Adolescent Epidemiology Pregnancy Complications Cardiovascular Age Distribution Pregnancy Risk Factors Cause of Death Humans Medicine business.industry Data Collection Public health medicine.disease Disease control United States Pregnancy Complications Maternal Mortality Health promotion Standardized mortality ratio Population Surveillance Pediatrics Perinatology and Child Health Female business Pregnancy related mortality Reporting system Demography |
| Zdroj: | Paediatric and Perinatal Epidemiology. 19:206-214 |
| ISSN: | 1365-3016 0269-5022 |
| DOI: | 10.1111/j.1365-3016.2005.00653.x |
| Popis: | Summary Deaths from pregnancy complications remain an important public health concern. Nationally, two systems collect information on the number of deaths and characteristics of the women who died from complications of pregnancy. The Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) reports maternal mortality through the National Vital Statistics System (NVSS); CDC National Center for Chronic Disease Prevention and Health Promotion’s Pregnancy Mortality Surveillance System (PMSS) conducts epidemiological surveillance of pregnancyrelated deaths. The numbers of deaths reported by these two systems have differed over the past two decades; our objective was to determine the magnitude and nature of these differences. For 1995‐97, we compared maternal deaths in the NVSS with pregnancy-related deaths in PMSS for the 50 States, Washington DC and New York City. Pregnancy-related deaths whose underlying cause was assigned to ICD-9 codes 630‐676 by NVSS were classified as maternal deaths; those coded outside 630‐676 were not. There were 1387 pregnancy-related deaths in PMSS and 898 maternal deaths in the NVSS; 54% of these deaths were reported in both systems, 40% in PMSS only, and 6% in NVSS only. Pregnancy-related deaths due to haemorrhage, embolism, and hypertensive complications of pregnancy were proportionately more often identified by NVSS as maternal deaths than those from cardiovascular complications, medical conditions or infection. From the 1471 unduplicated deaths classified as maternal or pregnancy-related from either reporting system, we estimated a combined pregnancyrelated mortality ratio of 12.6/100 000 live births for 1995‐97, compared with 11.9 for PMSS only and 7.5 for NVSS only. The identification and classification of these events is dependent on the provision of complete and accurate cause-of-death information on death certificates. Changes in the guidelines for coding maternal deaths under ICD10 may change the relationship in the number of deaths resulting from pregnancy reported by these two systems. |
| Databáze: | OpenAIRE |
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