Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-3 (of 3 Records) |
Query Trace: Trost SL[original query] |
---|
Identifying deaths during and after pregnancy: New approaches to a perennial challenge
Trost SL , Beauregard J , Petersen EE , Cox S , Chandra G , St Pierre A , Rodriguez M , Goodman D . Public Health Rep 2022 138 (4) 333549221110487 Maternal mortality is increasingly recognized as a public health crisis in the United States, with growing attention on the 3 major systems of national surveillance. National maternal mortality statistics are reported by the Centers for Disease Control and Prevention’s (CDC’s) National Vital Statistics System (NVSS)1 within the National Center for Health Statistics (NCHS) and the Pregnancy Mortality Surveillance System (PMSS)2 within the Division of Reproductive Health (DRH). Comprehensive surveillance data at the state and local level are also available from maternal mortality review committees (MMRCs) via the Maternal Mortality Review Information Application (MMRIA).3 Each surveillance system has inherent strengths and limitations, but all rely on valid, accurate, and timely case identification via vital statistics data. We outline recent innovations to improve identification and ensure robust and accurate surveillance of maternal mortality in the United States. |
Homicide during pregnancy and the postpartum period in the United States, 2018-2019
Goodman DA , Beauregard JL , Trost SL , Declercq E . Obstet Gynecol 2022 139 (4) 692 In the November 2021 issue, Wallaceet al1report,“Homicide mortality dur-ing pregnancy and within thefirst 42days from the end of pregnancy-.exceeded all the leading causes ofmaternal mortality.”using mortalitydata for females aged 10–44 years fromthe Centers for Disease Control andPrevention’s National Vital StatisticsSystem. There are two ways in whichthis statement may be inaccurate.Thefirst is that comparing all casesof homicide with the leading threedisaggregated direct obstetric causes ofdeath (ie, hemorrhage, hypertensivedisorders, sepsis) is not an equivalentcomparison. As reported, homicidemortality rates appear similar to thethree leading specific causes of directobstetric death when combined. Fur-ther, this comparison leaves out the restof the direct obstetric deaths from othercauses. In 2018, there were six times asmany total direct obstetric deaths2ashomicides, as reported |
Preventing pregnancy-related mental health deaths: Insights from 14 US Maternal Mortality Review Committees, 2008-17
Trost SL , Beauregard JL , Smoots AN , Ko JY , Haight SC , Moore Simas TA , Byatt N , Madni SA , Goodman D . Health Aff (Millwood) 2021 40 (10) 1551-1559 Each year approximately 700 people die in the United States from pregnancy-related complications. We describe the characteristics of pregnancy-related deaths due to mental health conditions, including substance use disorders, and identify opportunities for prevention based on recommendations from fourteen state Maternal Mortality Review Committees (MMRCs) from the period 2008-17. Among 421 pregnancy-related deaths with an MMRC-determined underlying cause of death, 11 percent were due to mental health conditions. Pregnancy-related mental health deaths were more likely than deaths from other causes to be determined by an MMRC to be preventable (100 percent versus 64 percent), to occur among non-Hispanic White people (86 percent versus 45 percent), and to occur 43-365 days postpartum (63 percent versus 18 percent). Sixty-three percent of pregnancy-related mental health deaths were by suicide. Nearly three-quarters of people with a pregnancy-related mental health cause of death had a history of depression, and more than two-thirds had past or current substance use. MMRC recommendations can be used to prioritize interventions and can inform strategies to enable screening, care coordination, and continuation of care throughout pregnancy and the year postpartum. |
- Page last reviewed:Feb 1, 2024
- Page last updated:May 06, 2024
- Content source:
- Powered by CDC PHGKB Infrastructure