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Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

cdc.gov

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Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#51

Post by _Microft »

echelon wrote: post #46
coderintherye wrote: post #40

Earlier quoted context omitted.

>First is that we report maternal mortality even when not directly associated with birth -- "Among pregnancy-related deaths with information on timing, 53% occurred 7–365 days postpartum." If someone gets a surgery and then dies 8 days later due to complications from the surgery, you don't go around saying the death was "not directly associated" with the surgery. There are lots of things that affect the body during p…

> dies 8 days later due to complications But 365 days? That's sounds like it's mental health related. It seems like we should track cause of death so we can have richer and more actionable information. Edit: I didn't mean to imply that this wasn't postpartum depression. I was curious if/why other nations aren't tracking the full calendar year after birth, and if our way of counting prevents us from directly comparing…

"Postpartum depression" is both mental health and maternity related for example.

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#52

Post by baby »

echelon wrote: post #46
coderintherye wrote: post #40

Earlier quoted context omitted.

>First is that we report maternal mortality even when not directly associated with birth -- "Among pregnancy-related deaths with information on timing, 53% occurred 7–365 days postpartum." If someone gets a surgery and then dies 8 days later due to complications from the surgery, you don't go around saying the death was "not directly associated" with the surgery. There are lots of things that affect the body during p…

> dies 8 days later due to complications But 365 days? That's sounds like it's mental health related. It seems like we should track cause of death so we can have richer and more actionable information. Edit: I didn't mean to imply that this wasn't postpartum depression. I was curious if/why other nations aren't tracking the full calendar year after birth, and if our way of counting prevents us from directly comparing…

Are you a doctor?

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#53

Post by smeej »

I'd like to know more detail about the methodology and definition of "preventable."

My sister's death in 2017 while 8 months pregnant is (apparently) included in this data, but I wonder how they would rate it.

She experienced sudden cardiac death, but had no prior indication anything was wrong with her heart, and no symptoms that would otherwise cause someone to examine her heart.

Had anyone examined it, they might have realized it was compromised, but does "we could require cardiac ultrasounds on all pregnant women, and sign vulnerable ones up for transplants" count as "somewhat preventable"? Can you even do a heart transplant on a pregnant woman?

I don't think her death was preventable, but the fact that I don't know how they would have counted it based on the information here makes me wish for more details.

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#54

Post by jjulius »

echelon wrote: post #46
coderintherye wrote: post #40

Earlier quoted context omitted.

>First is that we report maternal mortality even when not directly associated with birth -- "Among pregnancy-related deaths with information on timing, 53% occurred 7–365 days postpartum." If someone gets a surgery and then dies 8 days later due to complications from the surgery, you don't go around saying the death was "not directly associated" with the surgery. There are lots of things that affect the body during p…

> dies 8 days later due to complications But 365 days? That's sounds like it's mental health related. It seems like we should track cause of death so we can have richer and more actionable information. Edit: I didn't mean to imply that this wasn't postpartum depression. I was curious if/why other nations aren't tracking the full calendar year after birth, and if our way of counting prevents us from directly comparing…

>That's sounds like it's mental health related.

Directly from the cited link in the post you're responding to:

>Cardiomyopathy (weakened heart muscle) is the leading cause of deaths 1 week to 1 year after delivery.

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#55

Post by Dma54rhs »

malfist wrote: post #2

Maternity healthcare in the US is one of the worst in the developed nations. And yet we're banning abortion, and doing nothing to fix it. Even WIC has came under attack in the past. Protecting the unborn is very convenient. They make no demands of you. Edit: WIC: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) https://www.fns.usda.gov/wic

Its difficult to find countries with so liberal abortion laws as in America. As an European it amazes me that so many people think abortion at late stages is "Business as usual".

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#56

Post by disabled »

The third leading cause of death in the United States is believed to be preventable medical errors.

Anyways, I have never been pregnant, but if you saw what happened to me medically this summer, you would be doing everything you could to be leaving the US. Anyways, I am a dual citizen. My other nationality is Croatian, but I don’t plan on living there.

Even Croatia, you know which went through a horrific war 30 years ago, has a better life expectancy than the US now. But even before the pandemic, they were very close to convergence with the US life expectancy. And Croatia only spends $1,100 on healthcare per citizen per year!!!

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#57

Post by a4isms »

echelon wrote: post #46
coderintherye wrote: post #40

Earlier quoted context omitted.

>First is that we report maternal mortality even when not directly associated with birth -- "Among pregnancy-related deaths with information on timing, 53% occurred 7–365 days postpartum." If someone gets a surgery and then dies 8 days later due to complications from the surgery, you don't go around saying the death was "not directly associated" with the surgery. There are lots of things that affect the body during p…

> dies 8 days later due to complications But 365 days? That's sounds like it's mental health related. It seems like we should track cause of death so we can have richer and more actionable information. Edit: I didn't mean to imply that this wasn't postpartum depression. I was curious if/why other nations aren't tracking the full calendar year after birth, and if our way of counting prevents us from directly comparing…

Postpartum depression[1] is an example of a something that is _both_ "mental health related" and "pregnancy related."

https://en.wikipedia.org/wiki/Postpartum_depression

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#58

Post by avgcorrection »

csdvrx wrote: post #27

It's a theoretical claim (unproved, as acting on a system changes the system) Also, it's missing the crucial implication: at what price? With infinite amount of money, there are many things we could do. We don't have infinite money. Consider how the richest EU state in adjusted PPP per capita (so price levels can't be blamed) is just now barely richer than the poorest US state, in both the median and average Do we re…

US politicians when someone talks about welfare: but how would we pay for that??

US politicians when someone proposes a military budget: here, have 50% more just in case

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#59

Post by yebyen »

nxm wrote: post #37
neves wrote: post #29

Earlier quoted context omitted.

USA is the richest country of the world and does not have paid maternity leave. It is very weird and my hypothesis is that this fact relates to these mental health conditions.

At a federal level no, but some states do require many weeks at minimum. I also think 9months is beyond excessive for maternity/paternity leave (father of kids here).

I had a search because I didn't believe that any states required employers to offer paid family leave. Some research revealed that the situation is somehow both better than I thought, and also seemingly much worse than I imagined:

https://www.ncsl.org/research/labor-and-employment/state-fam...

https://www.zippia.com/advice/average-paid-maternity-leave/

There are a few North Korea comparisons in here that I think are tongue-in-cheek but two statistics jumped out at me:

(1) 1/3 of new mothers take little to no time off after [...] new child and instead opt to return to work as soon as they’re able

(2) The highest rates of paid family leave across any segment or industry appear to be in the 30% range. So only 30% of the jobs most likely to offer this benefit actually do.

Re: Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees

#60

Post by floxy »

powerslacker wrote: post #32

The timing of the publication of this data is telling. The data is gathered from a total of 1018 total cases from 2017-2019. The CDC has also published totals of the national rates of maternal mortality: https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2020... In 2020, there were 861 deaths total, at a rate of 23.8 per 100k births. If my math is correct that's roughly a .024% chance across all age groups of ma…

>In 2020, there were 861 deaths total, at a rate of 23.8 per 100k births.

Interesting. According to https://www.statista.com/statistics/241572/death-rate-by-age...

    Death rate by age and sex
             Male   Female
    15-24    99.7     38.4
    25-34   177       78.9
    35-44   257      141.6
...that would look like a death rate of 258.9 per 100k for women aged 15-44. Using the US population as 331,893,000 that works out to be about 859,272 deaths of women in that 15-44 age group. Or about 0.1% of deaths related to maternity.
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