Résumé :
|
[BDSP. Notice produite par INIST zw4R0x92. Diffusion soumise à autorisation]. Context Deaths occurring among women who are pregnant or who have had a recent pregnancy have a devastating impact on the family and community. It is important to understand the magnitude and causes of pregnancy-associated mortality so that comprehensive strategies can be formulated to prevent such deaths. Objective To ascertain the number and causes of pregnancy-associated deaths using enhanced surveillance techniques. Design, Setting, and Subjects Retrospective, cross-sectional analysis of death certificate data of reproductive-age women, live birth and fetal death records, and medical examiner records in Maryland during 1993-1998. Main Outcome Measure Number of pregnancy-associated deaths, defined as death from any cause during pregnancy or within 1 year of delivery or pregnancy termination, by source of data and cause of death. Results A total of 247 pregnancy-associated deaths were ascertained. Twenty-seven percent (n=67) were identified through cause-of-death information obtained from death certificates, 70% (n=174) through linkage of death records with birth and fetal death records, and 47% (n=116) through review of medical examiner records. Homicide was the leading cause of pregnancy-associated death (n=50 ; 20%), and cardiovascular disorders were the second-leading cause (n=48 ; 19%). (...)
|