Maternal Mortality in the United States: A Review of Contemporary Data and Their Limitations

被引:58
作者
Creanga, Andreea A. [1 ,2 ]
机构
[1] Johns Hopkins Univ, Dept Int Hlth, Baltimore, MD USA
[2] Johns Hopkins Univ, Dept Gynecol & Obstet, Baltimore, MD USA
关键词
maternal mortality; death certificates; United States; epidemiology; surveillance; PREGNANCY-RELATED MORTALITY; DEATHS; INFLUENZA; TRENDS;
D O I
10.1097/GRF.0000000000000362
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
This article provides a review of maternal mortality data and their limitations in the United States. National maternal mortality data, which rely heavily on vital statistics, document that the risk of death from pregnancy-related causes has not declined for >25 years and that striking racial disparities persist. State-based maternal mortality reviews, functional in many states, obtain detailed information on medical and nonmedical factors contributing to maternal deaths. Without this detailed knowledge from state-level data and without addressing recognized quality problems with vital statistics data at the national-level, we will have difficulty understanding maternal death trends and preventing future such deaths.
引用
收藏
页码:296 / 306
页数:11
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