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A Ten-Year Review of Maternal Mortality

From the Division of Perinatal Pathology. Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia

Abstract

A comparative review of maternal mortality ratios at a large urban charity hospital from 1911 through 1971 including 113,377 live births is presented. The data are divided into two time periods—13 years and 10 years—for comparison. A significant decrease in direct obstetric deaths -secondary to hemorrhage, infection, and toxemia (P = .06), and an unexplained increase in deaths due to vascular accidents have occurred. The ratio of deaths due to indirect causes is unchanged. Deaths due to homicide and automobile accidents have increased significantly (P = .01). A comparison of race, age, and gravidity is presented. This study of indigent maternal mortality demonstrates the need for increased contraceptive services, voluntary sterilization, patient education, and preconceptional identification of high-risk patients.