Laura E. Studee, MPH1, Stacie Geller, PhD1, and Deborah Rosenberg, PhD2. (1) Department of Obstetrics and Gynecology (MC 808), University of Illinois, College of Medicine, 820 S. Wood Street, Chicago, IL 60612, 312-996-0570, firstname.lastname@example.org, (2) Epidemiology & Biostatistics, SPH, University of Illinois, 1603 W. Taylor, Chgo, IL 60612
Objective: The goal of this study is to determine the rate of pregnancy-associated but not related deaths in Illinois from 1994 to 1998 and the most common causes of pregnancy-associated death. Study design: Illinois Vital Records data were used to identify maternal deaths from 1994 to 1998. Pregnancy-associated but not related deaths were defined as women who linked to a live birth or fetal death certificate and died within 1 year of delivery date, were 10-50 years old, and had an ICD-9 code outside of the pregnancy-related cause of death range. Data from vital records on live births in Illinois from 1994 to 1998 were used as the denominator to calculate rates. Results: Overall, the rate of pregnancy-associated but not related death was 35.8 per 100,000 live births. When rates were examined by age, women under 35 had a rate of 34.1 per 100,000 live births; women 35 and older had a rate of 47.8 per 100,000. White women had a pregnancy-associated but not related death rate of 24 per 100,000 live births. For other racial/ethnic groups, the rates were 86.6 for Black women, 20.8 for Hispanic women, and 18.4 for other race/ethnicities. Black women had a 3.6 higher risk of pregnancy-associated death than white women. Trauma was the most common cause of pregnancy-associated death, accounting for 28.5% of these deaths. Conclusions: Pregnancy and the post-partum periods are vulnerable times for women and families. Pregnant women may be at increased risk of trauma such as car accidents, homicide, and suicide.
Keywords: Data/Surveillance, MCH Epidemiology
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
The 132nd Annual Meeting (November 6-10, 2004) of APHA