Maternal mortality in Utah.

Update item information
Publication Type Journal Article
School or College School of Medicine
Department Pediatrics; Obstetrics & Gynecology
Creator Varner, Michael W.
Other Author Jacob, Scott; Bloebaum, Lois; Shah, Gulzar
Title Maternal mortality in Utah.
Date 1998-02
Description OBJECTIVE: To determine trends in maternal deaths in Utah, identify opportunities for preventive intervention, and analyze the mechanism of reporting maternal deaths. METHODS: A retrospective review was performed of maternal death certificates and medical records in Utah from January 1, 1982, through December 31, 1994. RESULTS: Sixty-two maternal deaths were identified. The risk of maternal death increased with maternal age and parity. The classic triad of hemorrhage (n = 8), infection (n = 5), and preeclampsia-eclampsia (n = 3) remains an important contributor (16 of 62 or 25.8%). However, trauma (n = 10), pulmonary embolism (n = 10), and maternal cardiac disease (n = 9) now account for 46.8% (29 of 62) of maternal deaths. A greater number of direct obstetric causes of maternal death (n = 20) were deemed preventable than indirect obstetric causes (n = 1) or nonobstetric causes (n = 4). CONCLUSION: Trauma, pulmonary embolism, and maternal cardiac disease have emerged as the most common identifiable causes of maternal death. Improvements in prevention, earlier diagnosis, and aggressive treatment of these conditions are necessary to achieve the Public Health Service year 2000 objective of a 50% reduction in maternal mortality ratios (using the 1987 ratio as a baseline).
Type Text
Publisher Lippincott, Williams & Wilkins
Volume 91
Issue 2
First Page 187
Last Page 191
Subject Maternal Death; Utah; Pregnancy; Trauma; Pulmonary Emboliam; Maternal Cardiac Disease
Subject MESH Maternal Mortality; Pregnancy; Utah/epidemiology; Cause of Death
Language eng
Bibliographic Citation Jacob S, Bloebaum L, Shah G, Varner MW. Maternal mortality in Utah. Obstet Gynecol. 1998 Feb;91(2):187-91. Retrieved on April 19, 2007 from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=Display&DB=pubmed
Rights Management Copyright © Wolters Kluwer, Obstetrics and Gynecology, 91, 187-91, 1998
Format Medium application/pdf
Identifier ir-main,946
ARK ark:/87278/s6ks78s0
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 703964
Reference URL https://collections.lib.utah.edu/ark:/87278/s6ks78s0
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