Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Disparity & Pregnancy-Related Mortality in the US

Obstet Gynecol; ePub 2018 Mar 8; Moaddab, et al

An increased risk of maternal death among non-Hispanic black, unmarried patients with unplanned pregnancies contributes significantly to the US maternal mortality ratio, a new study found. The retrospective observational study analyzed data from the CDC National Center for Health Statistics database and the Detailed Mortality Underlying Cause of Death database from 2005 to 2014 that contains mortality and population counts for all US counties. Researchers found:

  • The increase in maternal mortality ratio in the US since 2005 was from 15 per 100,000 live births in 2005 to 21-22 per 100,000 live births in 2013 and 2014.
  • This increase in mortality was most pronounced in non-Hispanic black women, with ratios rising from 39 to 49 per 100,000 live births.
  • Cesarean deliveries, unintended births, unmarried status, percentage of deliveries to non-Hispanic black women, and ≤4 prenatal visits were significantly associated with the increased maternal mortality ratio.

Citation:

Moaddab A, Dildy GA, Brown HL, et al. Health care disparity and pregnancy-related mortality in the United States, 2005-2014. [Published online ahead of print March 8, 2018]. Obstet Gynecol. doi:10.1097/AOG.0000000000002534.

This Week's Must Reads

ACOG: Well-Women Visits Can Minimize Health Risks, Obstet Gynecol; 2018 Oct; ACOG, et al

Gender Images & Social Expectations in BC Diagnosis, Cancer; ePub 2018 Sep 24; Kim, Glassgow, et al

Intended Pregnancy After Being Denied an Abortion, Contraception; ePub 2018 Sep 20; Upadhyay, et al

Opioid Prescribing After Surgery for Pelvic Organ Prolapse, Female Pelvic Med Reconstr Surg; ePub 2018 Sep 22; Leach, et al

VTE risk for continuous cycle oral contraceptives, Li J et al. JAMA Intern Med. 2018 Oct 1. doi:10.1001/jamainternmed.2018.4251

Must Reads in Obstetrics

Long-Acting Opioid Use During Delivery Hospitalizations, Obstet Gynecol; ePub 2018 Sep 7; Duffy, et al

Weight Gain & Hypertensive Disorders in Pregnancy, Obstet Gynecol; ePub 2018 Sep 7; Dude, et al

Prophylactic Antibiotic Use in Labor & Delivery, Obstet Gynecol; 2018 Sep; Coleman, et al

Prevention of Obstetric Lacerations at Vaginal Delivery, Obstet Gynecol; 2018 Sep; Cichowski, et al

Opioid Prescribing After Cesarean Delivery, Obstet Gynecol; ePub 2018 Aug 4; Prabhu, et al