Maternal Mortality in the United States, 1979???86

Atrash, Hani K.; Koonin, Lisa M.; Lawson, Herschel W.; Franks, Adele L.; Smith, Jack C.

doi:10.1097/00132586-199106000-00015

Cited by 42 publications

(68 citation statements)

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“…10 Once PTE occurs it is extremely serious, with a mortality rate reported to be 18-30% if left untreated, 11 and has long been the leading cause of maternal mortalities. 12,13 Likewise, obstetrical PTE in Japan has been increasing, making it the leading cause of direct obstetrical deaths. 7,14,15 Furthermore, most PTE cases are observed in the puerperal period, the majority of them after C/S.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Thromboembolism in Obstetrics and Gynecology Increased by 6.5-Fold Over the Past Decade in Japan

Kobayashi

Nakabayashi

Ishikawa

et al. 2008

Circ J

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Section: Discussionmentioning

confidence: 99%

Pulmonary Thromboembolism in Obstetrics and Gynecology Increased by 6.5-Fold Over the Past Decade in Japan

Kobayashi

Nakabayashi

Ishikawa

et al. 2008

Circ J

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“…20 Advanced age, high parity and large babies were important etiologic risk factors; 66% were >35 years, 40% were grand multipara and 40% had large babies (>4 kg). The majority of the deaths (80%) were in rupture of the unscarred uterus and only 20% of the deaths were contributed to by rupture of previous cesarean section scars.…”

Section: Etiologic Factorsmentioning

confidence: 99%

Epidemiology of Maternal Mortality in Saudi Arabia

et al. 1995

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A three year maternal mortality survey in Saudi Arabia has identified the various epidemiologic risk factors for maternal deaths. Unbooked, uneducated and economically underprivileged females were at increased risk of maternal death, especially >para 7 females, who were found to be at increased risk of maternal death, particularly deaths due to hemorrhage, pulmonary embolism and uterine rupture. In Saudi Arabia, there are contradictory risk factors for maternal death; e.g. low female literacy rate, early marriage and unregulated high fertility, and affluence which has brought about improvements in all walks of life including health services. Increasing the number of booked patients, especially among the elderly grand multipara, improving the quality of emergency obstetric services and achieving a higher female education rate are likely to bring the present maternal mortality ratio (MMR) of 18 per 100,000 births down to a minimum. The MMR obtained in this study compared favorably with those of the oil-producing Gulf countries and the developing and developed countries of the world. Ann Saudi Med 1995;15(4):A Al-Meshari, SK Chattopadhyay, B Younes, C Anokute, Epidemiology of Maternal Mortality in Saudi Arabia. 1995; 15(4): 317-322During the past half century there has been a dramatic fall in maternal mortality rates, especially in developed countries, so much so that standards of obstetric care can no longer be assessed in terms of mortality rates. The picture is different in the developing world and the disparity in deaths between developed and developing countries is larger for maternal mortality than for any other global health problem. While 25 % of females of reproductive age live in developed countries, they contribute to only 1 % of maternal deaths. The developing countries, on the other hand, accommodate 75% of females of reproductive age and contribute to 99% of maternal deaths, the widest disparity in all statistics of public health.1 Research supported by the World Health Organization (WHO) and other agencies has provided data on the magnitude of the problem of maternal death. There are over 500,000 deaths each year to females in pregnancy and childbirth in the world and that amounts to one woman every minute of every day. 2Few countries have complete and accurate data on maternal mortality and the national statistics in most of the developing countries are highly inaccurate. In Saudi Arabia, there is a paucity of data on maternal deaths and the triennial study on maternal mortality in Saudi Arabia 3 was the first of its kind with the objective of forming a national data base. The cultural and sociodemographic patterns of Saudi Arabia have contradictory epidemiologic risk factors for maternal deaths. On one hand, economic affluence has brought a rapid expansion and improvement in nutritional standards, free public sector health services, public sanitation and an impressive network of communication which are comparable to those in the developed countries. On the other hand, social customs of early marria...

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“…But, specifically it has been stated that advanced maternal age and multiparity are associated with a higher risk of PP [11], and that maternal risk of death for hemorrhage is associated with advanced age [12]. In this study, a strong association between maternal age higher than 30 years and the risk of hysterectomy was found; therefore, the estimates of maternal morbidity and mortality in this series must be interpreted with caution [14][15][16][17][18], as the incidence of complications may probably be higher than the one reported here. In summary, the association between advanced maternal age, previous cesarean sections and placenta praevia, increases the risk of placental accretism.…”

Section: Discussionmentioning

confidence: 74%

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Maternal Mortality in the United States, 1979???86

Cited by 42 publications

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Pulmonary Thromboembolism in Obstetrics and Gynecology Increased by 6.5-Fold Over the Past Decade in Japan

Pulmonary Thromboembolism in Obstetrics and Gynecology Increased by 6.5-Fold Over the Past Decade in Japan

Epidemiology of Maternal Mortality in Saudi Arabia

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