Pregnancy–Related Mortality in the United States Due to Hemorrhage
- 1 November 1999
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Obstetrics & Gynecology
- Vol. 94 (5, Part 1), 721-725
- https://doi.org/10.1016/s0029-7844(99)00396-8
Abstract
Objective: To study trends and examine risk factors for pregnancy-related mortality due to hemorrhage. Methods: We analyzed pregnancy-related deaths from 1979–1992 from the National Pregnancy Mortality Surveillance System of the Centers for Disease Control and Prevention. Live-birth data used to calculate mortality ratios were obtained from published vital statistics. Deaths due to ectopic pregnancies were excluded. Results: There were 763 pregnancy-related deaths from hemorrhage associated with intrauterine pregnancies, a ratio of 1.4 deaths per 100,000 live births. The pregnancy-related mortality ratio was higher for black women and those of other races than white women. The risk of pregnancy-related mortality increased with age. Abruptio placentae was the overall leading cause of pregnancy-related death due to hemorrhage. Leading causes of death differed by race, age group, and pregnancy outcome. Conclusion: Hemorrhage is the leading cause of pregnancy-related death in the United States. Black women have three times the risk of death of white women. In-depth investigations are needed to ascertain the risk factors associated with those deaths. (Obstet Gynecol 1999;94:721–5.)Keywords
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