Abstract
Frequencies and rates of maternal mortality in the United States have declined sharply since the turn of the century. During this decline, researchers have closely examined maternal mortality relative to various risk factors. However, maternal death as currently defined and coded on death certificates may not reveal the true extent of the problem of reproductive mortality. In Georgia, an analysis of death certificates of females ages 10 to 49 indicates that deaths due to pregnancy related conditions are not being discovered by traditional underlying cause-of-death maternal mortality classification. Frequencies and rates were calculated showing the difference between the traditional International Classification of Disease codes for maternal deaths (ICD 630–676) and the reproductive mortality definition used in this paper (which emphasizes the Health Field Concept classification of Lifestyle, Environment, Biology and Health Care Delivery System) (Lalonde, M., 1974 and Laframboise, H. L., 1973). The analysis suggests that a revised definition of maternal mortality be employed to take into consideration all risk factors related to reproductive mortality.
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Lavoie, M.R., Alan Dever, G.E. Reproductive mortality in Georgia: A lifestyle and environmental analysis. Soc Indic Res 19, 191–204 (1987). https://doi.org/10.1007/BF00300276
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DOI: https://doi.org/10.1007/BF00300276