RESUMEN
To understand better the epidemiology and to describe the causes of maternal death, we reviewed all identified maternal deaths in the United States and Puerto Rico for 1979-1986. The overall maternal mortality ratio for the period was 9.1 deaths per 100,000 live births. The ratios increased with age and were higher among women of black and other minority races than among white women for all age groups. The causes of death varied for different outcomes of pregnancy; pulmonary embolism was the leading cause of death after a live birth. Unmarried women had a higher risk of death than married women. The risk of death increased with increasing live-birth order, except for primiparas. In order to develop strategies to reduce the risk of maternal death in the United States, future studies should include expanded information about each death, which will allow better understanding of factors associated with maternal mortality.
Asunto(s)
Complicaciones del Embarazo/mortalidad , Aborto Espontáneo/mortalidad , Adolescente , Adulto , Negro o Afroamericano , Femenino , Humanos , Mortalidad Materna , Embarazo , Complicaciones del Embarazo/etnología , Atención Prenatal , Puerto Rico/epidemiología , Estudios Retrospectivos , Factores de Riesgo , Tasa de Supervivencia , Estados Unidos/epidemiología , Población BlancaRESUMEN
Lower socio-economic European American and Mexican American psychiatric inpatients were compared on degree of psychopathology, response to treatment and attitude toward mental illness and hospitalization. The Mexican American patients were proportionately under-represented, but did not differ from the European Americans in degree of psychopathology at admission nor in response to treatment-both groups showing a high degree of improvement by both MMPI and clinical judgement. However, the Mexican American patients did have a significantly more negative view of hospitalization and treatment, viewing it as controlling and restrictive which may account for their lower proportion in the patient population.