Perinatal Morbidity and Mortality in the U.S. Department of Defense, 2001-2005
Abstract
The risk of death from complications of pregnancy has decreased approximately 99% during the twentieth century, from approximately 850 maternal deaths per 100,000 live births in 1900 to 7.5 in 1982. However, since 1982, no further decrease has occurred in maternal mortality in the United States. The M2 data repository was queried for all vaginal and cesarean births that occurred within all U.S. Department of Defense military treatment facilities from 1 Jan 2001 to 31 Dec 2005 by selecting all encounters that fell under the diagnosis related groups (DRGs) 370-375 (cesarean and vaginal deliveries, with and without complications, and with and without associated procedures). As the overall cesarean rate has increased and the rate of forceps deliveries has decreased, the rates of 3rd and 4th degree lacerations and shoulder dystocia have decreased (58.72 to 41.48 per 1,000 and 29.27 to 22.25 per 1,000 respectively, statistical significance not calculated). The rate of GBS infection has increased from 2001 to 2005 (137.27 to 200.17 per 1,000) which likely reflects the institution ofuniversal screening in 2002, not necessarily an increase in the rate of actual infection.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 01, 2009
- Accession Number
- ADA529453
Entities
People
- Andrew Allen