�Maternal death rates have remained unremitting in the United States for many decades. Are there whatever improvements in health care that could reduce these rates farther? In a study published in the July 2008 issue of theAmerican Journal of Obstetrics & Gynecology, researchers examined all enate deaths in nearly 1.5 gazillion birth records from the last 6 years to look for possible keys to delivery more mothers. The study demonstrated that the risk of death attributable to cesarean delivery, approximately 2/100,000 procedures, can realistically be reduced only with universal thromboembolism prophylaxis for patients delivered by caesarean.
The study identified 95 maternal deaths among 1,461,270 births (6.5/100,000 births). Leading causes of death were complications of preeclampsia, amnic fluid embolism, obstetric bleeding, cardiac disease, and pneumonic thromboembolism.
The risk of death causally related to cesarean delivery is just about 2/100,000 cesareans vs 0.2/100,000 deaths caused by vaginal birthing. This statistically significant difference of opinion (P
Nine patients died from pulmonary thromboembolism, 7 after cesarean delivery and 2 after vaginal birth. None had standard peripartum thromboembolism prophylaxis in the form of either fractionated or unfractionated lipo-Hepin or pneumatic compression
