Deaths Associated With Pregnancy Outcome

Reardon, David C.; NEY, PHILIP G.; SCHEUREN, FRITZ; Cougle, Jesse R.; Coleman, Priscilla K.; STRAHAN, THOMAS W.

doi:10.1097/00007611-200295080-00011

Cited by 45 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This data gap is particularly problematic for the category of natural or induced fetal losses for two reasons. First, research has indicated that pregnant women who do not successfully carry to term may be at significantly greater risk of premature mortality, often from emotional or social factors such as suicide or violence whether the fetal loss was by induced abortion or a spontaneous loss [5,6]. Second, the loss of fully 1/3 of all pregnancies, nearly half of them for unknown causes, has a significant impact on the Total Fertility Rate (TFR) of the nation.…”

Section: Main Text Pregnancy Outcomes and Maternal Mortality Metricsmentioning

confidence: 99%

Improving the Metrics and Data Reporting for Maternal Mortality:A Challenge to Public Health Surveillance and Effective Prevention

Studnicki¹,

Reardon

Harrison

et al. 2019

OJPHI

View full text Add to dashboard Cite

BackgroundThe current measuring metric and reporting methods for assessing maternal mortality are seriously flawed. Evidence-based prevention strategies require consistently reported surveillance data and validated measurement metrics.Main BodyThe denominator of live births used in the maternal mortality ratio reinforces the mistaken notion that all maternal deaths are consequent to a live birth and, at the same time, inappropriately inflates the value of the ratio for subpopulations of women with the highest percentage of pregnancies ending in outcomes other than a live birth. Inadequate methods for identifying induced or spontaneous abortion complications assure that most maternal deaths associated with those pregnancy outcomes are unlikely to be attributed. Absent the ability to identify all maternal deaths, and without the ability to differentiate those deaths by specific pregnancy outcomes, existing variations in pregnancy outcome-specific maternal deaths are masked by the use of an aggregated (all outcome) numerator. Under these circumstances, clear and accurate data is not available to inform evidence-based preventive strategies. As the result, algorithms applied for analyzing maternal mortality data may return distorted results.ConclusionImprovement in the effectiveness of maternal mortality surveillance will require: mandatory certification of all fetal losses; linkage of death, birth and all fetal loss (induced and natural) certificates; modification of the structure of the overall maternal mortality ratio to enable pregnancy outcome-specific ratio calculations; development of the appropriate ICD codes which are specific to induced and spontaneous abortions; education for providers on identifying and reporting early pregnancy losses; and, flexible information systems and methods which integrate these capabilities and inform users.

show abstract

Section: Main Text Pregnancy Outcomes and Maternal Mortality Metricsmentioning

confidence: 99%