Improved surveillance of maternal deaths
| Autor: | Margaret Gregory, Michael Kreitzer, Leah Z. Ziskin |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Adult
Adolescent Population Surveillance Methods Prenatal care 03 medical and health sciences 0302 clinical medicine Pregnancy Methods Medicine Humans 030212 general & internal medicine education Retrospective Studies education.field_of_study 030219 obstetrics & reproductive medicine Population statistics Maternal mortality rate New Jersey business.industry Incidence (epidemiology) Obstetrics and Gynecology General Medicine medicine.disease Maternal Mortality Female business Developed country Demography |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 16(4) |
| ISSN: | 0020-7292 |
| Popis: | This reports objective is to categorize the types of maternal deaths identified by the traditional and expanded surveillance methods used in New Jersey and to define more accurately the problem of maternal mortality in New Jersey. The tables presented were intentionally not combined in order to show the results of the expanded surveillance method for each year. The use of the expanded surveillance method will result in more careful assessment and comparison of trends in the causes of maternal deaths in future years. The traditional method compiled data from death certificates submitted to the State Vital Statistics Office. The expanded method found additional deaths by reviewing the Annual Maternity Services Reports from hospitals and by close follow-up of individual reports of maternal deaths from medical examiners physicians and hospitals. The New Jersey resident maternal mortality rate increased from 1.7/10000 live births by the states traditional method to 3.1/10000 live births by the new method of surveillance instituted in 1974. In 1975 the maternal mortality rate by the traditional method was 1.5/10000 and by the expanded method 3.0/10000. The tables presented show the following: a line listing of 29 resident maternal deaths for 1974; a line listing of the 27 resident maternal deaths for 1975 and includes 14 deaths enumerated by the traditional method and 3 additional cases which would have been expected to be included; maternal mortality ratios by age and race for 1974 and 1975; maternal deaths by age and the existence of medical problems prior to pregnancy; and the maternal deaths in 1974 and 1975 by the method of reporting. Traditional reporting showed a predominance of direct maternal deaths; there were 19 direct to 11 indirect deaths for the 2 year period. It is generally accepted that in the last several years maternal deaths have decreased nationwide. This study shows that reliance on death certificates alone as a source of reporting of maternal deaths is incomplete and that other methods of discovering maternal deaths will uncover additional deaths both direct and indirect. A problem of the expanded surveillance technique is the difficulty in obtaining information on quality and quantity of prenatal care. |
| Databáze: | OpenAIRE |
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