The 2 NJ deaths are mentioned and give cause of deaths. Just realized I never posted this although the article is several months old.
Experts: U.S. Childbirth Deaths on Rise
By MIKE STOBBE 08.24.07, 4:43 PM ET
U.S. women are dying from childbirth at the highest rate in decades, new
government figures show. Though the risk of death is very small, experts
believe increasing maternal obesity and a jump in Caesarean sections are
partly to blame.
Some numbers crunchers note that a change in how such deaths are reported
also may be a factor.
"Those of us who look at this a lot say it's probably a little bit of both,"
said Dr. Jeffrey King, an obstetrician who led a recent New York state
review of maternal deaths.
The U.S. maternal mortality rate rose to 13 deaths per 100,000 live births
in 2004, according to statistics released this week by the National Center
for Health Statistics.
The rate was 12 per 100,000 live births in 2003 - the first time the
maternal death rate rose above 10 since 1977.
To be sure, death from childbirth remains fairly rare in the United States.
The death of infants is much more common - the nation's infant mortality
rate was 679 per 100,000 live births in 2004.
Maternal deaths were a much more common tragedy long ago. Nearly one in
every 100 live births resulted in a mother's death as recently as 90 years
But the fact that maternal deaths are rising at all these days is shocking,
said Tim Davis, a Virginia man whose wife Elizabeth died after childbirth in
"The hardest thing to understand is how in this day and age, in a modern
hospital with doctors and nurses, that somebody can just die like that," he
Some health statisticians note the total number of maternal deaths - still
fewer than 600 each year - is small. It's so small that 50 to 100 extra
deaths could raise the rate, said Donna Hoyert, a health scientist with the
National Center for Health Statistics. The rate is the number of deaths per
100,000 live births.
In 2003, there was a change in death certificate questions in the nation's
most populous state, California, as well as Montana and Idaho. That may have
resulted in more deaths being linked to childbirth - enough push up the 2003
rate, Hoyert said.
Some researchers point to the rising C-section rate, now 29 percent of all
births - far higher than what public health experts say is appropriate. Like
other surgeries, Caesareans come with risks related to anesthesia,
infections and blood clots.
"There's an inherent risk to C-sections," said Dr. Elliott Main, who
co-chairs a panel reviewing obstetrics care in California. "As you do
thousands and thousands of them, there's going to be a price."
Excessive bleeding is one of the leading causes of pregnancy-related death,
and women with several previous C-sections are at especially high risk,
according to a review of maternal deaths in New York. Blood vessel blockages
and infections are among the other leading causes.
Experts also say obesity may be a factor. Heavier women are more prone to
diabetes and other complications, and they may have excess tissue and larger
babies that make a vaginal delivery more problematic. That can lead to more
C-sections. "It becomes this sort of snowball effect," said King, who is now
medical director of maternal-fetal medicine at Riverside Methodist Hospital
in Columbus, Ohio.
The age of mothers could be a factor, too. More women are giving birth in
their late 30s and 40s, when complications risks are greater.
Other characteristics of the maternal mortality rate include:
_Race: Studies have found that the maternal death rate in black women is at
least three times greater than is it is for whites. Black women are more
susceptible to complications like high blood pressure and are more likely to
get inadequate prenatal care.
_Quality of care: Three different studies indicate at least 40 percent of
maternal deaths could have been prevented.
Sometimes, there is no clear explanation for a woman's death.
Valerie Scythes, a 35-year-old elementary schoolteacher, died in March at a
hospital in New Jersey - the state with the highest Caesarean section rate.
She had had a C-section, as did another teacher at the same school who died
after giving birth at the same hospital two weeks later.
However, Scythes died of a blocked blood vessel and the other woman died
from bleeding, said John Baldante, a Philadelphia attorney investigating the
death for Scythes' family.
"I'm not sure there was any connection between the two deaths," Baldante
Also mysterious was the death of Tim Davis' 37-year-old wife, Elizabeth, who
died a day after a vaginal delivery at a Danville, Va., hospital in
She had a heart attack after a massive blood loss, Davis said. It's not
clearly known what caused the heavy bleeding. There was no autopsy, he said,
a decision he now regrets.
Two previous births had gone well.
"Nothing led us to believe anything was wrong with this pregnancy. She was
like a picture of health," he continued, noting she had been a YMCA fitness
A lawsuit against the hospital ended in a settlement. Davis also sued the
obstetrician, but a jury ruled in the doctor's favor.
The child born that day, Ethan, starts second grade next week. "He's a happy
kid," Davis said. "He's just never had a mom."
National Center for Health Statistics 2004 deaths report:
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