Title |
A review of the preventability of maternal mortality in one hospital system in Louisiana, USA
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Published in |
International Journal of Gynecology & Obstetrics, January 2017
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DOI | 10.1002/ijgo.12074 |
Pubmed ID | |
Authors |
James J. Morong, Jane K. Martin, Robert S. Ware, Alfred G. Robichaux |
Abstract |
To determine preventability of in-hospital maternal mortality in the Ochsner Health System (OHS) in the US state of Louisiana. A retrospective study was undertaken of all known cases of in-hospital maternal death (during pregnancy or within 42 days of termination) that occurred within OHS facilities in 1995-2013. Associations between characteristics and mortality and preventability were investigated. Incidence rate ratios (IRRs) were calculated in view of varying reference values. Among 16 eligible deaths, 12 (75%) were deemed potentially preventable. The incidences of overall and preventable maternal death were higher if the patient had late entry to prenatal care (IRR 6.3 [P=0.004] and 8.8 [P=0.004], respectively). Maternal mortality was increased if the patient had required transfer to the OHS (IRR 15.8 [P<0.001] overall and 15.8 [P=0.002] for preventable mortality). Deaths of patients with private insurance were more likely to be not preventable than were those of patients without such insurance (P=0.003). Uninsured patients had the highest MMR, with an IRR of 13.8 (P=0.014) when compared with Medicaid patients. The factors most predictive of mortality were late entry to prenatal care, critical status requiring transfer from an outside facility, and non-private insurance status. |
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Geographical breakdown
Country | Count | As % |
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Unknown | 36 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 6 | 17% |
Student > Master | 5 | 14% |
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Student > Bachelor | 4 | 11% |
Lecturer | 2 | 6% |
Other | 5 | 14% |
Unknown | 9 | 25% |
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Arts and Humanities | 1 | 3% |
Business, Management and Accounting | 1 | 3% |
Other | 1 | 3% |
Unknown | 10 | 28% |