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Related Experiment Videos

Maternal Cardiovascular Mortality in Illinois, 2002-2011.

Joan Briller1, Abigail R Koch, Stacie E Geller

  • 1Division of Cardiology, Department of Medicine, and the Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, Illinois.

Obstetrics and Gynecology
|April 7, 2017
PubMed
Summary

Cardiovascular disease caused over one-fifth of maternal deaths in Illinois from 2002-2011. Nearly 30% of these deaths were preventable, highlighting the need for improved healthcare provider and patient factors.

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Area of Science:

  • Public Health
  • Cardiology
  • Obstetrics & Gynecology

Background:

  • Cardiovascular disease (CVD) is a leading cause of maternal mortality globally.
  • Understanding the specific demographic characteristics and etiologies of CVD-related maternal deaths is crucial for targeted interventions.
  • Pregnancy can exacerbate pre-existing or undiagnosed cardiovascular conditions.

Purpose of the Study:

  • To describe the demographic profile of women in Illinois who died from cardiovascular disease during pregnancy or up to one year postpartum.
  • To identify the specific causes (etiologies) and timing of these cardiovascular deaths.
  • To determine the proportion of potentially preventable cardiovascular maternal deaths and associated contributing factors.

Main Methods:

  • Retrospective analysis of maternal deaths in Illinois from 2002 to 2011.

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  • Data sourced from the Illinois Department of Public Health Maternal Mortality Review process.
  • International Classification of Diseases, 9th Revision (ICD-9) codes were used to identify cardiovascular disease as the cause of death.

    • Main Results:

    • Cardiovascular disease accounted for 22.2% of maternal deaths in Illinois (8.2 per 100,000 live births).
    • Women experiencing cardiovascular mortality were often older and deaths occurred postpartum.
    • Leading causes included cardiomyopathy (27.9%), stroke (22.9%), and hypertensive disorders (12.9%).
    • Nearly 75% of cardiac deaths were pregnancy-related, compared to 35.3% of non-cardiac deaths.
    • Approximately 28.1% of cardiovascular maternal deaths were deemed potentially preventable.

    Conclusions:

    • Cardiovascular disease remains a significant contributor to maternal mortality in Illinois.
    • A substantial proportion of these deaths are preventable, emphasizing the need for improved healthcare provider awareness and patient education.
    • Intensified postpartum monitoring and addressing identified patient and provider factors are critical for reducing cardiovascular maternal mortality.