Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.

To better understand age-related disparities in US maternal mortality, we analyzed 2016-2017 vital statistics mortality data with cause-of-death literal text (actual words written on the death certificate) added. We created a subset of confirmed maternal deaths which had pregnancy mentions in the ca...

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Autores principales:	Marian F MacDorman, Marie Thoma, Eugene Declercq, Elizabeth A Howell
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ddf06f2a0f7642a3a3ca34ca902709f6
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spelling	oai:doaj.org-article:ddf06f2a0f7642a3a3ca34ca902709f62021-12-02T20:09:51ZCauses contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.1932-620310.1371/journal.pone.0253920https://doaj.org/article/ddf06f2a0f7642a3a3ca34ca902709f62021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253920https://doaj.org/toc/1932-6203To better understand age-related disparities in US maternal mortality, we analyzed 2016-2017 vital statistics mortality data with cause-of-death literal text (actual words written on the death certificate) added. We created a subset of confirmed maternal deaths which had pregnancy mentions in the cause-of-death literals. Primary cause of death was identified and recoded using cause-of-death literals. Age-related disparities were examined both overall and by primary cause. Compared to women <35, the 2016-2017 US maternal mortality rate was twice as high for women aged 35-39, four times higher for women aged 40-44, and 11 times higher for women aged 45-54 years. Obstetric hemorrhage was the leading cause of death for women aged 35+ with rates 4 times higher than for women <35, followed by postpartum cardiomyopathy with a 3-fold greater risk. Obstetric embolism, eclampsia/preeclampsia, and Other complications of obstetric surgery and procedures each had a two-fold greater risk of death for women aged 35+. Together these 5 causes of death accounted for 70.9% of the elevated maternal mortality risk for women aged 35+. The excess maternal mortality risk for women aged 35+ was focused among a few causes of death and much of this excess mortality is preventable. Early detection and treatment, as well as continued care during the postpartum year is critical to preventing these deaths. The Alliance for Innovation on Maternal Health has promulgated patient safety bundles with specific interventions that health care systems can adopt in an effort to prevent these deaths.Marian F MacDormanMarie ThomaEugene DeclercqElizabeth A HowellPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253920 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Marian F MacDorman Marie Thoma Eugene Declercq Elizabeth A Howell Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.
description	To better understand age-related disparities in US maternal mortality, we analyzed 2016-2017 vital statistics mortality data with cause-of-death literal text (actual words written on the death certificate) added. We created a subset of confirmed maternal deaths which had pregnancy mentions in the cause-of-death literals. Primary cause of death was identified and recoded using cause-of-death literals. Age-related disparities were examined both overall and by primary cause. Compared to women <35, the 2016-2017 US maternal mortality rate was twice as high for women aged 35-39, four times higher for women aged 40-44, and 11 times higher for women aged 45-54 years. Obstetric hemorrhage was the leading cause of death for women aged 35+ with rates 4 times higher than for women <35, followed by postpartum cardiomyopathy with a 3-fold greater risk. Obstetric embolism, eclampsia/preeclampsia, and Other complications of obstetric surgery and procedures each had a two-fold greater risk of death for women aged 35+. Together these 5 causes of death accounted for 70.9% of the elevated maternal mortality risk for women aged 35+. The excess maternal mortality risk for women aged 35+ was focused among a few causes of death and much of this excess mortality is preventable. Early detection and treatment, as well as continued care during the postpartum year is critical to preventing these deaths. The Alliance for Innovation on Maternal Health has promulgated patient safety bundles with specific interventions that health care systems can adopt in an effort to prevent these deaths.
format	article
author	Marian F MacDorman Marie Thoma Eugene Declercq Elizabeth A Howell
author_facet	Marian F MacDorman Marie Thoma Eugene Declercq Elizabeth A Howell
author_sort	Marian F MacDorman
title	Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.
title_short	Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.
title_full	Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.
title_fullStr	Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.
title_full_unstemmed	Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.
title_sort	causes contributing to the excess maternal mortality risk for women 35 and over, united states, 2016-2017.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ddf06f2a0f7642a3a3ca34ca902709f6
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Causes contributing to the excess maternal mortality risk for women 35 and over, United States, 2016-2017.

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