Perspectives of Maternal Mortality Among Women Who Live in Indiana

Renbarger, Kalyn M.; Place, Jean Marie; Twibell, Renee; Trainor, Kristin; McIntire, Elizabeth

doi:10.1016/j.jogn.2022.09.006

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…This resonates with prior findings of the lay public's perceptions of maternal mortality conducted by the first author. Renbarger et al (2023) found that women in the lay public did not worry about maternal mortality, did not see themselves as at-risk, and were more concerned about the health of their infant. Correspondingly, women with and without SUD in the perinatal period have not recognized substance use as a major risk factor to maternal mortality.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Maternal Mortality Risk Among Women with Substance Use Disorders during Pregnancy and Postpartum

Renbarger,

Slater,

Phelps

2024

McN: The American Journal of Maternal/Child Nursing

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Purpose: The purpose of this study was to investigate knowledge of maternal mortality risk of women with substance use disorder in the perinatal period. Study Design: This study was conducted using a qualitative descriptive design. Methods: Participants were recruited from a residential substance use treatment center in a rural Midwestern city. We used semi-structured interviews during which participants described their understanding of maternal mortality risk and their related experiences. We analyzed the transcribed interviews using content analysis to yield themes and subthemes. Results: Sixteen women participated. Three main themes were identified: Women with substance use disorder lack understanding of maternal mortality; Women with substance use disorder experience barriers to perinatal care; and Women with substance use disorder have additional risk factors for maternal mortality. Clinical Implications: Nurses can use validated screening tools, offer brief interventions, and refer women to appropriate substance use disorder treatment and mental health resources. Nurses must educate women with substance use disorder about their risk for maternal mortality as well as the signs and symptoms of perinatal mood and anxiety disorders. Nurses should provide education about the access and use of naloxone. A non-judgmental and trauma-informed approach should be used during interactions with this population.

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Section: Discussionmentioning

confidence: 99%

Knowledge of Maternal Mortality Risk Among Women with Substance Use Disorders during Pregnancy and Postpartum

Renbarger,

Slater,

Phelps

2024

McN: The American Journal of Maternal/Child Nursing

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“…The reasons identified for the lack of blood were poor access, a donor rate below 10/1000 inhabitants, deficiency of adequate supplies and transportation 40 . Recently, Renbarger et al additionally identified that women are not worried about mortality until they experience pregnancy complications, women have limited information on maternal mortality, and women often feel dismissed during maternity care, which could contribute to increasing the magnitude of the problem 41 . Colombia has a blood network made up of public and private banks 24 that averaged a donor rate of 17.3 per 1000 inhabitants between 2018 and 2021, (92.7%: altruistic unpaid volunteers; 7.3% family/replacement) 24 .…”

Section: Discussionmentioning

confidence: 99%

Role of disruptions in O RhD negative donations in Colombia on increasing maternal mortality ratio from haemorrhage

Bermúdez‐Forero,

Delgado‐López,

Anzola‐Samudio

et al. 2023

Transfusion Medicine

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ObjectiveThe aim of this work was to evaluate the relationship of the maternal mortality ratio due to obstetric haemorrhage (MMROH) with the national blood donations, particularly O RhD negative (Oneg) before and during COVID‐19 pandemic.BackgroundThe maternal mortality ratio is increasing in Colombia, yet little is known regarding the relationship between blood donations and maternal mortality due to obstetric haemorrhage.Materials and MethodsA retrospective cross‐sectional study between January 1, 2018, and December 31, 2021, was performed, to assess MMROH compared to the blood donations notified to the Colombian National Haemovigilance System, through non‐parametric methods. Because a relationship between blood donations and MMROH was identified, the analysis was expanded from 2009 to 2017.ResultsIn 2020, Colombia increased the MMROH by 32% compared to 2019 which coincided with the lockdown period to contain COVID‐19. An inversed relationship (SumD2 = 631.0; rs = −0.7335; p 0.01) between blood donations, particularly Oneg (SumD2 = 652.0; rs = −0.7912; p 0.002) and MMROH was identified. For the years 2015–2019 and 2021, the annual mean MMROH was 8.5 ± 0.5 per 100 000 live births when the annual mean blood donations was 18.2 ± 0.4 donations per 1000 people and the Oneg was 1.0 ± 0.0 donations per 1000 people. In contrast, the years 2009–2014 and 2020 displayed an annual MMROH of 12.6 ± 0.8, when the annual collection of blood was 16.4 ± 0.8 donations and the Oneg was 0.9 ± 0.0, p < 0.001.ConclusionThere was an inverse relationship between blood donation, mainly Oneg, and maternal mortality from obstetric haemorrhage. However, we recognise these deaths could be related to other reasons, especially when they occurred in rural areas with limited access to medical services.

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Perceptions of Supportive Factors for Reducing Risk of Maternal Mortality Among Women With Substance Use Disorders in a Rural Setting

Renbarger,

Slater,

Phelps

et al. 2024

Nursing for Women's Health

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Perspectives of Maternal Mortality Among Women Who Live in Indiana

Cited by 4 publications

References 23 publications

Knowledge of Maternal Mortality Risk Among Women with Substance Use Disorders during Pregnancy and Postpartum

Knowledge of Maternal Mortality Risk Among Women with Substance Use Disorders during Pregnancy and Postpartum

Role of disruptions in O RhD negative donations in Colombia on increasing maternal mortality ratio from haemorrhage

Perceptions of Supportive Factors for Reducing Risk of Maternal Mortality Among Women With Substance Use Disorders in a Rural Setting

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