Maternal Mortality in Michigan

An Epidemiologic Analysis, 1950-1971

Bibliographic Data

ID11030778
AuthorsWilliam Schaffner (0000-0002-1375-8078), Charles F Federspiel, Mary L Fulton, Donna G Gilbert, Lee B Stevenson
Year1977
Volume67
Issue9
Pages821-829
Publication date1977-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.67.9.821
PMID900320
OpenAlexW2097210657
LanguageEN
Citations received8
References cited5

An analysis was performed of direct maternal mortality over 22 years (1950 through 1971) in the state of Michigan. The overall direct maternal mortality rate fell from 5.0/10,000 live births in 1950 to 1.5 in 1971. The rate among nonwhites was more than four times greater than among whites and the difference in relative risk did not narrow over the 22 years. Mortality rates increased with increasing maternal age but not with increasing parity. Nulliparous women had a significantly higher mortality rate than did parous women, particularly those over 25 years of age. when the white gravida of urban Wayne County were compared with the white gravida of 33 rural counties, no difference in direct maternal mortality rates could be attributed to rurality per se. Hemorrhage, infection, and toxemia were the leading causes of direct maternal death. The data suggest that hospitals with less active obstetrical services were associated with a higher risk of direct maternal mortality than were hospitals whose obstetrical services were more active. An increasing proportion of the direct maternal deaths was designated as preventable over the study period. It is believed that analyses of maternal mortality have led to improved perinatal and obstetrical care and that further advances require their continued support. (Am. J. Public Health 67:821-829, 1977)

Environmental health · Health services · Infant mortality · Maternal mortality rate · Mortality rate · Parity (physics) · Population · Public health · Rural area · Rurality · Demography · Healthcare Policy and Management · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine

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