PUB HLT 150 Lecture Notes - Lecture 9: Postpartum Period, Maternal Death, Blood Transfusion
Document Summary
Has declined since 1900 but is now again on the rise in the us (globally still decreasing: legalized abortions, safe transfusion, shift to hospital births cause decrease, delayed childbearing cause increase. Direct maternal death: ob complications of pregnancy, labor or puerperium. Indirect maternal death: due to previously existing disease, due to disease developed during pregnancy/labor/puerperium, due to aggravation of disease by adaptation to pregnancy. Maternal mortality ratio - # of maternal deaths from reproductive process/100,000 livebirths. Timing of death: 34% die within a day of ending pregnancy, 55% die within 6 weeks, 11% within a year. Aa 4x increases risk, white/hispanics comparable, asians lowest mmr. 30-50% of deaths could have been preventable or due to health system limitations (delays in diagnosis/effective treatment, lack of resources/records) Should (cid:271)e a (cid:449)o(cid:373)e(cid:374)"s (cid:449)hole reprodu(cid:272)ti(cid:448)e life spa(cid:374) Women should be encouraged to use condoms, discuss unintended pregnancies and abortions, promote birth spacing by at least 2 years. Screen for preexisting chronic conditions, health risks.
