Improving Maternal Mortality: Comprehensive Reporting for All Pregnancy Outcomes

Studnicki, James; Fisher, John W.; Donovan, Charles A.; Prentice, David A.; MacKinnon, Sharon J.

doi:10.4236/ojpm.2017.78013

Cited by 1 publication

(2 citation statements)

References 69 publications

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“…Published abortion mortality rates are inaccurate because the total number of legal abortions performed in the United States is not known (Studnicki et al 2017). Estimated numbers of abortions are voluntarily reported to the CDC by state health departments.…”

Section: Determining Induced Abortion Deathsmentioning

confidence: 99%

“…These studies showed that the risk of death within 180 days is over twice as high following abortion compared to delivery, and this risk remains elevated for at least ten years (Deneux-Tharaux et al 2005). The risk of death in a given year for a woman who was not pregnant was 57/100,000 women, but after an abortion, the risk was 83/100,000, after miscarriage 52/100,000, and for those who carried a pregnancy to term 28/100,000 (Studnicki et al 2017). Danish studies reported that the risk of death within 180 days after a first trimester abortion was 244 percent higher than the risk of death after childbirth; the risk of death after a late-term abortion was 615 percent higher than that after childbirth (Reardon and Coleman 2012).…”

Section: Report Of the National Academies Of Sciencementioning

confidence: 99%

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Induced Abortion and the Increased Risk of Maternal Mortality

Marmion

Skop²

2020

Linacre Q

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After years of failure to obtain accurate statistics on maternal mortality, the United States noted a sharp increase in its maternal mortality rate with widening racial and ethnic disparities. The 2016 report shocked the nation by documenting a 26 percent increase in maternal mortality from 18.8/100,000 live births in 2000 to 23.8 in 2014. Suggested etiologies of this increase included artifact as a result of improved maternal death surveillance, incorrect use of ICD- 10 codes, healthcare disparities, lack of family support and other social barriers, substance abuse and violence, depression and suicide, inadequate preconception care, patient noncompliance, lack of standardized protocols for handling obstetric emergencies, failure to meet expected standards of care, aging of the pregnant patient cohort with associated increase in chronic diseases and cardiovascular complications, and lack of a comprehensive national plan. While some of the increase in maternal mortality may be a result of improved data collection, pregnancy-related deaths are occurring at a higher rate in the United States than in other developed countries. Some have suggested that the increased maternal mortality is due to limiting women’s access to legal abortion. In order to discover effective strategies to improve pregnancy outcomes, maternal mortality must be investigated in an unbiased manner. This review explores the relationship between legal-induced abortion and maternal mortality. Summary: In Finland, where epidemiologic record linkage has been validated, the risk of death from legal induced abortion is reported to be almost four times greater than the risk of death from childbirth. It is difficult to do this comparison in the United States not only because prior induced abortion history is often not recorded for a pregnancy-related death but also because less than one-quarter of the states require health care providers to report abortion deaths for investigation. These omissions are important because mortality risk in pregnancies subsequent to abortion is increased due to abortion-induced morbidities such as preterm birth and abnormal placentation. Legal induced abortion is a root cause of the racial and ethnic disparity noted in maternal mortality. In the United States, the death rate from legal induced abortion performed at 18 weeks gestation is more than double that observed for women experiencing vaginal delivery.

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Section: Determining Induced Abortion Deathsmentioning

confidence: 99%