HOMICIDE AND OTHER INJURIES AS CAUSES OF MATERNAL DEATH IN NEW-YORK-CITY, 1987 THROUGH 1991
HOMICIDE AND OTHER INJURIES AS CAUSES OF MATERNAL DEATH IN NEW-YORK-CITY, 1987 THROUGH 1991
复制标题
DOI：
10.1016/0002-9378(95)90496-4
复制
发表时间：
1995-05-01
影响因子：
9.8
通讯作者：
GRAHAM, EH
中科院分区：
文献类型：
--
作者：
DANNENBERG, AL;CARTER, DM;GRAHAM, EH
目的：我们试图记录的作用，杀人和其他伤害产妇死亡的原因，并比较孕妇与一般population.Study设计的致命伤害的风险：我们回顾了纽约市法医记录的2331名妇女，年龄在15至44岁，谁死于伤害，在1987年至1991年。从尸检信息中识别出妊娠情况。结果：293例死亡中，115例（39%）是由于受伤导致的。这115例死亡包括他杀（63%）、自杀（13%）、车祸（12%）和药物过量（7%）。少数民族妇女在伤害死亡中所占比例过高（黑人53%，西班牙裔24%，白色19%）。最近的物质使用记录在48%的伤害死亡。在115份死亡证明中，只有35%的人记录了怀孕。致命伤害的风险是相似的，目前怀孕的妇女和妇女在一般人群中，除了怀孕的黑人women.CONCLUSIONS：杀人和其他伤害是孕产妇死亡率的主要贡献者，应（但很少）包括在孕产妇死亡率监测系统的常规。产前和产后诊所就诊是实施干预措施以防止孕妇受伤的理想时机。
OBJECTIVES: We attempted to document the role of homicide and other injuries as causes of maternal death and to compare the risk of fatal injury among pregnant women with that in the general population.STUDY DESIGN: We reviewed New York City medical examiner records of 2331 women aged 15 to 44 years who died of injury in 1987 through 1991. Pregnancies were identified from autopsy information.RESULTS: A total of 115 (39%) of 293 deaths in currently or recently pregnant women were attributable to injury. These 115 deaths included homicide (63%), suicide (13%), motor vehicle crashes (12%), and drug overdoses (7%). Minority women were overrepresented among the injury deaths (black 53%, Hispanic 24%, white 19%). Recent substance use was documented in 48% of the injury deaths. Pregnancy was documented on only 35% of the 115 death certificates. The risk of fatal injury is similar for currently pregnant women and for women in the general population, except for an increased risk of homicide among pregnant black women.CONCLUSIONS: Homicide and other injuries are major contributors to maternal mortality and should be (but rarely are) included routinely in maternal mortality surveillance systems. Prenatal and postpartum clinic visits represent an ideal time to implement interventions to prevent injuries among pregnant women.