TABLE 2—

Observed Maternal Morbidity During Labor and Delivery: California, 1996–1998

	Mexican-Born		US-Born White, Non-Latinas
	No. Cases	Cases per 1000 Deliveries	No. Cases	Cases per 1000 Deliveries
Hemorrhage
Antepartum	5940	14.50	8582	18.95
Postpartum	9853	24.05	10 937	24.15
Preeclampsia and eclampsia
Preeclampsia and eclampsia	10 700	26.11	13 455	29.70
Severe preeclampsia	2848	6.95	2809	6.20
Eclampsia	355	0.87	277	0.61
Obstetric trauma
Third/fourth-degree laceration	15 085	36.81	21 844	48.23
Fourth-degree laceration	4743	11.57	6124	13.52
Other obstetric trauma	7733	18.87	9559	21.10
Ruptured uterus	303	0.74	410	0.91
Infection
Any infection	29 783	72.68	33 020	72.90
Genitounrinary infection	12 806	31.25	13 705	30.26
Amnionitis	7766	18.95	7195	15.88
Other infection	7568	18.47	10 695	23.61
Fever	3654	8.92	5921	13.07
Major puerperal infection	4064	9.92	3085	6.81
Postpartum fever of unknown origin	2102	5.13	1712	3.78
Sepsis	101	0.25	90	0.20
Other obstetric complications not listed above
Other puerperal complication	6494	15.85	9200	20.31
Distress, shock, arrest, etc.	1373	3.35	2108	4.65
Anesthesia complication	1050	2.56	1905	4.21
Wound complication	1476	3.60	1959	4.32
Deep venous thrombosis	200	0.49	287	0.63
Gestational liver disease	151	0.37	197	0.43
Late Vomiting	178	0.43	525	1.16
Pulmonary or amniotic embolism	41	0.10	84	0.19
Cerebrovascular accident	106	0.26	145	0.32
1 or more maternal morbidities	76 089	185.69	96 545	213.14

Source. Data are from the California Office of State Health Planning and Development, 1996–1998.11