Pregnancy-Associated Deaths Due to Drugs, Suicide, and Homicide in the United States, 2010–2019

Margerison, Claire E.; Roberts, Meaghan H; Gemmill, Alison; Goldman‐Mellor, Sidra

doi:10.1097/aog.0000000000004649

Cited by 72 publications

(61 citation statements)

References 29 publications

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“…Suicides were so numerous among young women with unwanted pregnancies in El Salvador that they became a leading cause of maternal mortality after a total abortion ban there (Moloney 2014;Teter 2020). Deaths by homicide nearly double during pregnancy and the postpartum period in the United States (Margerison et al 2022;Subbaraman 2021). We anticipate that the Dobbs decision will increase risks of both suicide and homicide for pregnant people.…”

Section: Suicide and Homicidementioning

confidence: 99%

Society for Medical Anthropology Statement on Supreme Court Dobbs v. Jackson Women's Health Organization Decision

et al. 2022

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This statement summarizes key findings from anthropological and related scholarship on the harmful consequences of inadequate abortion access, leading the Society for Medical Anthropology to register profound concern about the recent Supreme Court decision in Dobbs v. Jackson. After circulation to SMA members for input, a finalized version passed a membership vote by an overwhelming margin. This statement complements one produced by the Council for Anthropology and Reproduction, available here.

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Section: Suicide and Homicidementioning

confidence: 99%

Society for Medical Anthropology Statement on Supreme Court Dobbs v. Jackson Women's Health Organization Decision

et al. 2022

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“…For that reason, others have elected to broaden the definition of maternal mortality. A recent study by Margerison et al published earlier this year has evaluated all maternal deaths within 1 year of delivery, and from all causes has shown that approximately one fifth of maternal deaths are due to drug abuse, suicide or homicide 1. Broadening the definition of maternal mortality is very interesting and requires more study.…”

Section: Commentmentioning

confidence: 99%

The Impact of Cardiovascular Diseases on Maternal Deaths in the Nordic Countries

Nyfløt

Johansen

Mulic‐Lutvica

et al. 2022

Obstetric Anesthesia Digest

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hemorrhage. The World Maternal Antifibrinolytic (WOMAN) trial conducted in women with PPH reported that TXA had no effect on all-cause mortality; however, the trial mostly conducted in low-resource settings. This study aimed to determine whether administering 1 g of TXA intravenously during active PPH (blood loss ≥ 1000 mL) impacted the rate of maternal morbidity.This retrospective, comparative study examined delivery data between November 9, 2016 and June 30, 2019 at a large regional maternal hospital in Australia. All women at term gestation with a vaginal, singleton birth were included in the study. Women with <1000 mL blood loss, with multiple gestation, preterm births, delivery before hospital arrival, and cesarean deliveries were excluded from the study. Data on maternal demographics, onset of labor, length of labor stages, augmentation of labor, perineal trauma, delivery mode, infant birth weight, initial management of third stage, PPH surgical and medical management, ICU admission, blood product administration, iron infusion, and postnatal hemoglobin was gathered. Data were analyzed using univariate logistic regression models. The primary outcome was composite maternal morbidity. Secondary outcomes included TXA-related adverse events, uterine balloon tamponade use for PPH, and need for post-partum IV iron infusion.Of the 392 total cases, 158 women received 1 g of TXA intravenously within 3 hours of delivery. No difference was found in maternal morbidity [odds ratio (OR): 0.86, 95% confidence interval (CI): 0.57-1.29, P = 0.46] or use of iron infusion postpartum (OR: 1.44, 95% CI: 0.92-2.27, P = 0.11). There was a significant decrease in uterine balloon tamponade utilization after TXA guideline implementation (OR: 0.33, 95% CI: 0.16-0.67, P < 0.01).This retrospective study showed no difference in PPHrelated maternal morbidity or mortality but did show a reduction in intrauterine balloon use with early TXA administration in a high-income setting. Future studies should look at the impact TXA practice guidelines may have on cesarean delivery patients.

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“…Pregnancyassociated drug-related deaths are most common among those aged 35 years or older, whereas suicide and homicide were most common among the youngest birthing people. 25…”

Section: Race and Maternal Suicidementioning

confidence: 99%

Maternal Suicide in the U.S.: Opportunities for Improved Data Collection and Health Care System Change Issue Brief

2022

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Pregnancy-Associated Deaths Due to Drugs, Suicide, and Homicide in the United States, 2010–2019

Abstract: Count per 100,000 live births in that racial and ethnic group from 2010 to 2019. † Rate ratio5pregnancy-associated death ratio in group divided by pregnancy-associated death ratio in reference group.

Cited by 72 publications

References 29 publications

Society for Medical Anthropology Statement on Supreme Court Dobbs v. Jackson Women's Health Organization Decision

Society for Medical Anthropology Statement on Supreme Court Dobbs v. Jackson Women's Health Organization Decision

The Impact of Cardiovascular Diseases on Maternal Deaths in the Nordic Countries

Maternal Suicide in the U.S.: Opportunities for Improved Data Collection and Health Care System Change Issue Brief

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