Maternal Mortality Facts
While pregnant or within 42 days of termination of pregnancy
Maternal Death
what country has an MMR of 14 deaths for every 100,000 live births
United States
Pregnant Women of color are at a higher risk for what medical condition than pregnant white women
Hypertension
What are some assessment questions to establish baseline.
How are you feeling? How is your pregnancy going?
Is this your first pregnancy?
Do you have prenatal care?
etc...
How many times have they been pregnant before
An assessment question for working with pregnant women of color
Housing, access to care, transportation and acute and chronic life stressors are examples of what
Intersectionality
City with highest rate of maternal mortality in U.S.
Washington D.C
More likely to have C-sections than white women
Women of color
Country U.S. is modeling review committee after
United Kingdom
Two types of Data collection for this population
quantitative and Qualitative
_____ of maternal mortality cases are preventable
one-half
Cities and states where there is a large population of African American women have the worst maternal outcomes
New York City and Washington D.C.
Which birthing method has a higher rate of MMR
C-section
Questionnaire that ask you about how you are treated and how you respond to it
Experiences of Discrimination Questionnaire (EOD)
Example of evaluation for MMR
staff surveys, focus groups, analyzing data etc...
Year of first hospital and state maternal mortality review committees
between 1930-40s
U.S. state with review committee
California
hemorrhage, hypertension, thrombosis, unsafe induced abortion, sepsis and obstructed labor are examples of what
causes of maternal mortality
2006-2013 CA saw ____ decrease in MMR
55%
There is no single source or data collection method that is adequate in order to evaluate maternal mortality in all settings
Cons of clinical case evaluation for MMR
When did Maternal Mortality Rates (MMR) decreased with medical advances
1940-70s
Maternal mortality rates continue to be high for women of color in how many states
41
Are more likely to give birth in lower quality hospitals
women of color
Panel of obstetricians, anesthesiologists, midwives, pathologists, social workers (10-15 people)
standardized review committees
Intervention examples for MMR
improve quality of care, improve facilities, doctor training etc...