Maternal mortality in North Carolina: a forty-year experience.
Am J Obstet Gynecol
; 161(3): 555-60; discussion 560-1, 1989 Sep.
Article
en En
| MEDLINE
| ID: mdl-2782334
ABSTRACT
PIP: An analysis of 67 maternal deaths from January 1, 1981, through December 31, 1985, are reported in detail and in the perspective of 3780 maternal deaths previously reviewed in North Carolina since January 1, 1946. During the 5-year study period, 428,891 live births and 155,498 elective abortions occurred. A total of 54 direct and indirect maternal deaths were unrelated to elective abortion (12.6: 100,000 live births) and 2 deaths succeeded 1 elective and 1 indicated abortion (1.3: 100,000 abortions). Although the direct obstetric mortality rate has decreased 95% over the 40 years, within causal mortality groups the rates have changed variably during the past 5 years. For the 1st time, no deaths from obstetric infection occurred. Whereas deaths from toxemia continue to decline, those from hemorrhage, embolism, and anesthetic complications remain unchanged. Within the hemorrhage causal group, deaths from ectopic pregnancy have risen to 70%. The maternal death rate after 20 weeks' gestation is almost 10 times that associated with pregnancy interruptions. Data from North Carolina, as well as regional and national data indicate at least a 3-fold to 4-fold greater risk of death in nonwhite women. Significant risk variations, such as the increased frequency of cardiovascular disease in the black race, are present in causal groups that cannot be explained specifically.
Palabras clave
Americas; Anesthesia; Biology; Blacks; Causes Of Death; Cerebrovascular Effects; Cultural Background; Demographic Factors; Developed Countries; Diseases; Embolism; Ethnic Groups; Hematological Effects; Hemic System; Maternal Mortality; Mortality; North America; North Carolina; Northern America; Obstetrical Surgery; Physiology; Population; Population At Risk; Population Characteristics; Population Dynamics; Pregnancy Complications; Pregnancy, Ectopic; Research Methodology; Research Report; Risk Factors; South Carolina; Surgery; Treatment; United States; Vascular Diseases
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Mortalidad Materna
/
Encuestas Epidemiológicas
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Obstet Gynecol
Año:
1989
Tipo del documento:
Article
Pais de publicación:
Estados Unidos