Pregnancy-related mortality due to cardiomyopathy: United States, 1991-1997.

作者: S Whitehead

DOI: 10.1016/J.OBSTETGYNECOL.2003.08.009

关键词:

摘要: Abstract Objective To describe characteristics and risk factors for pregnancy-related deaths due to cardiomyopathy during 1991–1997 assess reasons the increasing trend in reporting of from 1979 through 1997. Methods We used data Centers Disease Control (CDC) Prevention's Pregnancy Mortality Surveillance System examine 1991 The mortality ratio was defined as number per 100,000 live births. Cardiomyopathy classified peripartum or other causes. Results Of 245 that occurred 1991–1997, 171 (70%) were cardiomyopathy. cause-specific 0.88 increased maternal age increased. Black women 6.4 times likely die white women. Among cases which interval end pregnancy known, 2% died undelivered, 48% within 42 days delivery, 50% between 43 1 year postpartum. Conclusion accounts an proportion reported deaths, more than six-fold excess death among black is larger any cause death. these might be largely improved case ascertainment. Further studies are required estimate prevalence identify modifiable associated with this racial disparity.

参考文章(15)
H. K. Atrash, H. W. Lawson, L. M. Koonin, A. L. Franks, J. C. Smith, Maternal mortality in the United States, 1979-1986. Obstetrics & Gynecology. ,vol. 76, pp. 1055- 1060 ,(1990)
GARY F. CUNNINGHAM, JACK A. PRITCHARD, GARY D. V. HANKINS, PAMELA L. ANDERSON, MICHAEL J. LUCAS, KENNETH F. ARMSTRONG, Peripartum heart failure: idiopathic cardiomyopathy or compounding cardiovascular events? Obstetrics & Gynecology. ,vol. 67, pp. 157- 168 ,(1986) , 10.1097/00006250-198602000-00002
Gail D. Pearson, Jean-Claude Veille, Shahbudin Rahimtoola, Judith Hsia, Celia M. Oakley, Jeffrey D. Hosenpud, Aftab Ansari, Kenneth L. Baughman, Peripartum Cardiomyopathy JAMA. ,vol. 283, pp. 1183- 1188 ,(2000) , 10.1001/JAMA.283.9.1183
JOHN A. PIERCE, Familial Occurrence of Postpartal Heart Failure Archives of Internal Medicine. ,vol. 111, pp. 651- 655 ,(1963) , 10.1001/ARCHINTE.1963.03620290117016
I. Blickstein, Y. Zazel, Z. Katz, M. Lancet, Ritodrine-induced pulmonary edema unmasking underlying peripartum cardiomyopathy. American Journal of Obstetrics and Gynecology. ,vol. 159, pp. 332- 333 ,(1988) , 10.1016/S0002-9378(88)80078-4
JOHN G. DEMAKIS, SHAHBUDIN H. RAHIMTOOLA, GEORGE C. SUTTON, W. ROBERT MEADOWS, PAUL B. SZANTO, JOHN R. TOBIN, ROLF M. GUNNAR, Natural Course of Peripartum Cardiomyopathy Circulation. ,vol. 44, pp. 1053- 1061 ,(1971) , 10.1161/01.CIR.44.6.1053
C Berg, Pregnancy-related mortality in the United States, 1991–1997 Obstetrics & Gynecology. ,vol. 101, pp. 289- 296 ,(2003) , 10.1016/S0029-7844(02)02587-5
Jean-Claude Veille, Peripartum cardiomyopathies: A review American Journal of Obstetrics and Gynecology. ,vol. 148, pp. 805- 818 ,(1984) , 10.1016/0002-9378(84)90572-6
Andrea G. Witlin, William C. Mabie, Baha M. Sibai, Peripartum cardiomyopathy: An ominous diagnosis American Journal of Obstetrics and Gynecology. ,vol. 176, pp. 182- 188 ,(1997) , 10.1016/S0002-9378(97)80033-6
Richard F. Ford, John R. Barton, John M. O’Brien, Paula W. Hollingsworth, Demographics, management, and outcome of peripartum cardiomyopathy in a community hospital. American Journal of Obstetrics and Gynecology. ,vol. 182, pp. 1036- 1038 ,(2000) , 10.1067/MOB.2000.105402