Predictors of maternal mortality and near-miss maternal morbidity.
J Perinatol
; 27(10): 597-601, 2007 Oct.
Article
em En
| MEDLINE
| ID: mdl-17703181
ABSTRACT
OBJECTIVE:
To identify risk factors for life-threatening maternal outcomes. STUDYDESIGN:
Hospital charts were reviewed for cases of maternal mortality or near-miss and for controls overmatched 13. Significant risk factors were identified through simple and best subsets multiple logistic regression.RESULT:
Eight cases of mortality and 69 near-miss cases were found. Significant risk factors with their odds ratios and 95% confidence intervals are age 35 to 39 years (2.3, 1.2 to 4.4) and >39 years (5.1, 1.8 to 14.4); African-American race (7.4, 2.5 to 22.0) and Hispanic ethnicity (4.2, 1.3 to 13.2); chronic medical condition (2.7, 1.5 to 4.8); obesity (3.0, 1.7 to 5.3); prior cesarean (5.2, 2.8 to 9.8) and gravidity (1.2, 1.1 to 1.5 per pregnancy). In multivariable logistic regression, race remained significant while controlling for other significant factors and markers of socioeconomic status.CONCLUSION:
Some risk factors can be modified through medical care, education or social support systems. Racial disparity in outcome is confirmed and is unexplained by traditional risk factors.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mortalidade Materna
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Perinatol
Assunto da revista:
PERINATOLOGIA
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos