Pregnancy related deaths report
The Centers for Disease Control and Prevention has published a report into pregnancy related deaths. It highlights that around 700 women die each in the US from pregnancy related complications estimating that 3 in 5 of these could be prevented.
Figures in the study outline the statistics for the 2011 – 2015 period. The split is relatively even between deaths happening during pregnancy, at delivery or up to 1 week after and 1 week to 1 year postpartum. Heart disease and stroke were the cause of over 1/3 of the deaths and Black and American Indian/Alaska Native women were about 3 times as likely to die from a pregnancy-related cause.
Although heart disease was one of the main causes of death other causes differ depending on the stage of pregnancy or postpartum period. Most deaths during delivery are caused by obstetric emergencies for example excessive bleeding and in the week after delivery bleeding and infections are common. Some of the factors that play a part in deaths include women’s access to care, missed/delay diagnosis and failure to recognise warning signs.
The report provides some recommendations for what all stakeholders can do:
The full report and further resources are available here.
SMFM guidance - Immediate postpartum long-acting reversible contraception for women at high risk for medical complication
New guidance on Immediate postpartum long-acting reversible contraception (LARC) for women at high risk for medical complications has been published by the Society for Maternal Fetal Medicine. The document has been designed to educate all providers about the benefits of postpartum contraception, and to advocate for widespread implementation of immediate postpartum LARC placement programs.
Recommendations from SMFM are: