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Pregnancy-Related Deaths by Hispanic Origin, United States, 2009-2018
Wilda Parker-Collins1, Fanny Njie1,2, David A Goodman1
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Public Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Journal of Women'S Health (2002)
|September 6, 2023
Summary
Pregnancy-related deaths varied among Hispanic populations based on origin, with Puerto Rican individuals experiencing higher mortality ratios. Hemorrhage and infection were leading causes, but cardiomyopathy was more prevalent in Puerto Rican deaths.
Area of Science:
- Public Health
- Maternal Health
- Epidemiology
Background:
- Pregnancy-related mortality remains a significant public health concern.
- Hispanic populations experience disparities in maternal health outcomes.
- Understanding variations within Hispanic subgroups is crucial for targeted interventions.
Purpose of the Study:
- To analyze pregnancy-related mortality among Hispanic people in the U.S. from 2009-2018.
- To stratify mortality data by place of origin within Hispanic communities.
- To identify demographic and clinical factors associated with pregnancy-related deaths.
Main Methods:
- Cross-sectional descriptive study utilizing the Pregnancy Mortality Surveillance System (2009-2018).
- Analysis of pregnancy-related deaths stratified by Hispanic origin (e.g., Mexican, Puerto Rican, Cuban).
- Calculation of pregnancy-related mortality ratios (PRMR) per 100,000 live births.
Main Results:
- Overall PRMR for Hispanic people was 11.5 per 100,000 live births.
- PRMR varied by origin: 9.6 for Cuban, 15.3 for Puerto Rican.
- Hemorrhage and infection were leading causes; cardiomyopathy was more frequent among Puerto Rican deaths.
- Higher mortality associated with older age and lower educational attainment.
Conclusions:
- Significant differences in pregnancy-related mortality exist among Hispanic subgroups based on place of origin.
- Puerto Rican individuals exhibited higher mortality ratios and a distinct cause of death profile (cardiomyopathy).
- Findings underscore the need for culturally tailored prevention strategies to reduce maternal mortality disparities.
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