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Maternal deaths in Washington state.

T J Benedetti, P Starzyk, F Frost

    Obstetrics and Gynecology
    |July 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Maternal death reporting in Washington State showed significant underreporting from 1977-1981. Most pregnancy-related deaths were not identified on death certificates, highlighting a critical data gap.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Maternal Health

    Background:

    • Accurate maternal mortality data is crucial for effective public health interventions.
    • Underreporting of maternal deaths can obscure the true burden of maternal mortality.

    Purpose of the Study:

    • To assess the completeness of maternal death reporting in Washington State.
    • To identify discrepancies between death certificates and other vital records for maternal deaths.

    Main Methods:

    • Comparison of death certificates with birth and fetal death records for women aged 15-45.
    • Analysis of deaths attributed to selected causes between 1977 and 1981.

    Main Results:

    • 112% underreporting of maternal deaths was observed.

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  • Only 17 out of 36 maternal deaths were identified as pregnancy-related on death certificates.
  • Hypertensive disorders of pregnancy and pulmonary embolism were leading causes.

    • Conclusions:

    • Significant underreporting of maternal deaths exists in Washington State.
    • Death certificate data alone is insufficient for accurate maternal mortality surveillance.
    • Improved methods are needed to capture all maternal deaths.