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Maternal Deaths Using Coroner's Data: A Latent Class Analysis.

Kayvan Aflaki1, Simone N Vigod2, Ann E Sprague3

  • 1Institute of Medical Science, University of Toronto, Toronto, Canada.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|January 8, 2024
PubMed
Summary
This summary is machine-generated.

Maternal deaths around pregnancy can be categorized into three groups: in-hospital, accidents/complications, and postpartum suicides. Understanding these subgroups aids in developing targeted prevention strategies for maternal mortality.

Keywords:
cause of deathcoronermaternal mortalityoverdosepregnancysuicide

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Forensic Pathology

Background:

  • Limited knowledge exists on factors contributing to maternal deaths during the peri-pregnancy period.
  • Population-based data and coroner's reports are crucial for understanding maternal mortality patterns.

Purpose of the Study:

  • To identify distinct subgroups of maternal deaths using coroner's data.
  • To inform preventative initiatives by characterizing different maternal death types.

Main Methods:

  • A comprehensive review of coroner's death files in Ontario, Canada (2004-2020).
  • Latent class analysis (LCA) was employed to categorize deaths based on clinical and social factors.
  • Data abstracted included demographics, cause of death, and antecedent health factors.

Main Results:

  • Three distinct subgroups of maternal deaths were identified among 273 cases.
  • Group 1: In-hospital deaths during or shortly after birth (52.7%).
  • Group 2: Accidents and obstetric complications (26.3%).
  • Group 3: Out-of-hospital postpartum suicides (21.0%).
  • Leading causes included physical injury (22.0%), hemorrhage (16.8%), and overdose (13.3%).

Conclusions:

  • Peri-pregnancy maternal deaths can be classified into three distinct subgroups with varying causes.
  • These classifications can guide clinical practice and policy development for reducing maternal mortality.