Circulation ON MY MIND Poorly Understood Maternal Risks of Pregnancy in Women With Heart Disease ne of the most significant accomplishments of modern medicine world- Karen Florio, DO wide is the dramatic 28% decrease in neonatal mortality during the past Tara Banaszek Daming, O 20 years. However, although neonatal survival is improving and, for most MD of the world, maternal mortality is decreasing, this trend has not been seen in the Anna Grodzinsky, MD, United States. Neonatal survival has improved in the United States, whereas ma- MSc ternal mortality has increased from 7.2 deaths per 100 000 in 1989 to 17 deaths per 100 000 in 2013. In fact, the United States is the only developed nation with a rising maternal mortality rate. Maternal mortality is even higher for black women, approaching 4-fold that of their white, Asian, or Hispanic counterparts. Although cardiac disease complicates a small number of all pregnancies, it has become a leading cause of maternal morbidity and mortality, surpassing both hemorrhage and embolic events. Understanding the causes of this worrisome trend must become a research priority with plans to develop novel interventions to improve maternal outcomes, particularly as the birthrate in women >35 years of
Circulation – Wolters Kluwer Health
Published: Feb 20, 2018
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