Carla L DeSisto1, Reena Oza-Frank2, David Goodman3, Elizabeth Conrey3,2, Cynthia Shellhaas2,4. 1. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. wup5@cdc.gov. 2. Bureau of Maternal, Child and Family Health, Ohio Department of Health, Columbus, OH, USA. 3. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. 4. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Abstract
OBJECTIVE: To assess how often maternal transport preceded pregnancy-related deaths and describe contributing factors and recommendations related to maternal transport. STUDY DESIGN: We used Ohio maternal mortality review committee (MMRC) data from 2010 to 2016. We defined two transport types among pregnancy-related deaths: field to hospital and hospital to hospital. We examined deaths determined by the MMRC to be potentially preventable by transfer to a higher level of care and described contributing factors and recommendations. RESULT: Among 136 pregnancy-related deaths, 56 (41.2%) were transported. Among 15 deaths identified as potentially preventable by transfer to a higher level of care, 5 were transported between hospitals. Contributing factors for 14 deaths included inadequate response by Emergency Medical Services and lack of transport to a higher level of care. CONCLUSION: Our results suggest opportunities for examining modification and adherence to existing protocols. Improving risk-appropriate maternal care systems is important for preventing pregnancy-related deaths.
OBJECTIVE: To assess how often maternal transport preceded pregnancy-related deaths and describe contributing factors and recommendations related to maternal transport. STUDY DESIGN: We used Ohio maternal mortality review committee (MMRC) data from 2010 to 2016. We defined two transport types among pregnancy-related deaths: field to hospital and hospital to hospital. We examined deaths determined by the MMRC to be potentially preventable by transfer to a higher level of care and described contributing factors and recommendations. RESULT: Among 136 pregnancy-related deaths, 56 (41.2%) were transported. Among 15 deaths identified as potentially preventable by transfer to a higher level of care, 5 were transported between hospitals. Contributing factors for 14 deaths included inadequate response by Emergency Medical Services and lack of transport to a higher level of care. CONCLUSION: Our results suggest opportunities for examining modification and adherence to existing protocols. Improving risk-appropriate maternal care systems is important for preventing pregnancy-related deaths.
Authors: Lauren M Rossen; Katherine A Ahrens; Lindsay S Womack; Sayeedha F G Uddin; Amy M Branum Journal: Am J Epidemiol Date: 2022-05-20 Impact factor: 5.363
Authors: Charlan D Kroelinger; Marion E Rice; Ekwutosi M Okoroh; Carla L DeSisto; Wanda D Barfield Journal: J Perinatol Date: 2021-07-12 Impact factor: 3.225