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Estimation of pregnancy-related mortality risk by pregnancy outcome, United States, 1991 to 1999

      The comparative safety of pregnancy outcomes has clinical and public health importance. Using national statistics for 1991 to 1999, I estimated the risk of maternal death associated with various outcomes. Abortion (legal and spontaneous) was associated with the lowest risk, live birth intermediate risk, and ectopic pregnancy and fetal death the highest risk.

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      References

        • Atrash H.K.
        • Alexander S.
        • Berg C.J.
        Maternal mortality in developed countries: not just a concern of the past.
        Obstet Gynecol. 1995; 86: 700-705
        • Horon I.L.
        Underreporting of maternal deaths on death certificates and the magnitude of the problem of maternal mortality.
        Am J Public Health. 2005; 95: 478-482
        • Zane S.B.
        • Kieke Jr., B.A.
        • Kendrick J.S.
        • Bruce C.
        Surveillance in a time of changing health care practices: estimating ectopic pregnancy incidence in the United States.
        Matern Child Health J. 2002; 6: 227-236
        • Chang J.
        • Elam-Evans L.D.
        • Berg C.J.
        • Herndon J.
        • Flowers L.
        • Seed K.A.
        • et al.
        Pregnancy-related mortality surveillance—United States, 1991-1999.
        MMWR Surveill Summ. 2003; 52: 1-8
        • Saraiya M.
        • Berg C.J.
        • Shulman H.
        • Green C.A.
        • Atrash H.K.
        Estimates of the annual number of clinically recognized pregnancies in the United States, 1981-1991.
        Am J Epidemiol. 1999; 149: 1025-1029
      1. National Center for Health Statistics. Tables from vital statistics of the United States, 1999, Part I, natality. Available from: http://www.cdc.gov/nchs/data/statab/t991x01.pdf. Accessed March 7, 2005.

        • Strauss L.T.
        • Herndon J.
        • Chang J.
        • Parker W.Y.
        • Levy D.A.
        • Bowens S.B.
        • et al.
        Abortion surveillance—United States, 2001.
        MMWR Surveill Summ. 2004; 53: 1-32
        • Mackay A.P.
        • Berg C.J.
        • Duran C.
        • Chang J.
        • Rosenberg H.
        An assessment of pregnancy-related mortality in the United States.
        Paediatr Perinat Epidemiol. 2005; 19: 206-214
        • Gissler M.
        • Berg C.
        • Bouvier-Colle M.H.
        • Buekens P.
        Pregnancy-associated mortality after birth, spontaneous abortion, or induced abortion in Finland, 1987-2000.
        Am J Obstet Gynecol. 2004; 190: 422-427
        • Dorfman S.F.
        Deaths from ectopic pregnancy, United States, 1979 to 1980.
        Obstet Gynecol. 1983; 62: 334-338
        • Saraiya M.
        • Green C.A.
        • Berg C.J.
        • Hopkins F.W.
        • Koonin L.M.
        • Atrash H.K.
        Spontaneous abortion-related deaths among women in the United States—1981-1991.
        Obstet Gynecol. 1999; 94: 172-176
        • Lawson H.W.
        • Frye A.
        • Atrash H.K.
        • Smith J.C.
        • Shulman H.B.
        • Ramick M.
        Abortion mortality, United States, 1972 through 1987.
        Am J Obstet Gynecol. 1994; 171: 1365-1372
        • LeBolt S.A.
        • Grimes D.A.
        • Cates Jr., W.
        Mortality from abortion and childbirth. Are the populations comparable?.
        JAMA. 1982; 248: 188-191
        • Cates Jr., W.
        • Smith J.C.
        • Rochat R.W.
        • Grimes D.A.
        Mortality from abortion and childbirth. Are the statistics biased?.
        JAMA. 1982; 248: 192-196