Incidence and causes of maternal mortality in the USA

The Journal of Obstetrics and Gynaecology Research
Anita KuriyaHaim A Abenhaim

Abstract

To characterize the most common causes and risk factors of maternal mortality in the USA and observe trends over the past 9 years. We carried out a population-based retrospective cohort study using data from the Health Care Cost and Utilization Project, Nationwide Inpatient Sample. Women who were pregnant between 2003 and 2011 were identified. Baseline characteristics of pregnant women who died and those who lived were measured. ICD-9 codes for each cause of death were examined by up to three independent reviewers. Causes of death were categorized into the nine most common subgroups and trends were examined by tertiles of the period 2003-2011. During this 9-year period, there were approximately 7 million births and 1102 maternal deaths, for an overall incidence of 14.2 per 100 000 births. Primary causes of maternal death included sepsis (20.6%), cardiac disease (17.8%), hemorrhage (16.2%), venous thromboembolism (15.2%), and hypertensive disorders (9.4%). During the study period, there was a significant decrease in the frequency of sepsis from 33.2% to 10.0% and a non-significant decrease in venous thromboembolism from 19.1% to 12.9%. There were increases noted in all other groups, notably in terms of hemorrhage from 8.2% to 22...Continue Reading

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Citations

Aug 24, 2018·The Journal of Obstetrics and Gynaecology Research·Abdulla Al-KhanJesus Alvarez-Perez
Mar 15, 2019·Obstetrics and Gynecology·Cassandra R DuffyCynthia Gyamfi-Bannerman
Dec 18, 2019·Journal of Obstetrics and Gynaecology of India·Abhay A Bhave
Jul 7, 2017·Cardiology and Therapy·Reza Ashrafi, Stephanie L Curtis
Dec 10, 2020·Thrombosis Journal·Mahboobeh ShiraziMarjan Ghaemi
Jun 17, 2020·The American Journal of the Medical Sciences·Larysa Aleksenko, Isaac K Quaye

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