TABLE 2.
Maternal and late maternal deaths and mortality rates by cause of death, Texas, 2006–2010 and 2011–2015
| Underlying cause of death | 2006–2010 | 2011–2015 | Percent change 2006–2010 to 2011–2015 |
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|---|---|---|---|---|---|---|---|
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| Number of deaths |
Percent of total maternal deaths |
Ratea | Number of deaths |
Percent of total maternal deaths |
Ratea | ||
| Total maternal deaths (during pregnancy or within 42 d after the end of pregnancy) (A34, O00–O95, O98–O99) | 366 | 100.0 | 18.3 | 668 | 100.0 | 34.2 | 87.2*** |
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| Total direct obstetric causes (A34, O00–O92) | 227 | 62.0 | 11.3 | 425 | 63.6 | 21.8 | 92.0*** |
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| Pregnancy with abortive outcome (includes ectopic pregnancy) (O00–O07)b | 10 | 2.7 | 0.5 | 12 | 1.8 | 0.6 | 23.1 |
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| Hypertensive disorders (O10–O16)b | 42 | 11.5 | 2.1 | 51 | 7.6 | 2.6 | 24.5 |
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| Obstetric hemorrhage (O20, O43.2, O44–O46, O67, O71.0–O71.1, O71.3–O71.4, O71.7, O72) | 20 | 5.5 | 1.0 | 23 | 3.4 | 1.2 | 20.0 |
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| Pregnancy-related infection (O23, O41.1, O75.3, O85, O86, O91)b | - | - | - | 11 | 1.6 | 0.6 | - |
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| Other obstetric complications (O21–O22, O24–O41.0, O41.8–O43.1, O43.8–O43.9, O47–O66, O68–O70, O71.2, O71.5, O71.6, O71.8, O71.9, O73–O75.2, O75.4–O75.9, O87–O90, O92)b | 146 | 39.9 | 7.3 | 329 | 49.3 | 16.9 | 132.0*** |
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| Diabetes mellitus in pregnancy (O24) | - | - | - | 20 | 3.0 | 1.0 | - |
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| Liver disorders in pregnancy (O26.6) | 15 | 4.1 | 0.7 | 33 | 4.9 | 1.7 | 125.6** |
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| Other specified pregnancy-related conditions (O26.8) | 77 | 21.0 | 3.8 | 203 | 30.4 | 10.4 | 170.4*** |
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| Obstetric embolism (O88) | 23 | 6.3 | 1.1 | 22 | 3.3 | 1.1 | −1.9 |
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| Cardiomyopathy in the puerperium (O90.3) | - | - | - | 22 | 3.3 | 1.1 | - |
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| Total indirect causes (O98–O99)b | 114 | 31.1 | 5.7 | 216 | 32.3 | 11.1 | 94.3*** |
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| Diseases of the circulatory system (O99.4) | 37 | 10.1 | 1.8 | 46 | 6.9 | 2.4 | 27.5 |
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| Diseases of the respiratory system (O99.5) | 11 | 3.0 | 0.5 | 10 | 1.5 | 0.5 | −6.8 |
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| Other specified diseases and conditions (O99.8) | 54 | 14.8 | 2.7 | 123 | 18.4 | 6.3 | 133.6*** |
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| Obstetric death of unspecified cause (O95) | 25 | 6.8 | 1.2 | 27 | 4.0 | 1.4 | 10.8 |
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| Late maternal causes (43 d-1 y after the end of pregnancy) (O96–O97) | 128 | - | 6.4 | 94 | - | 4.8 | −24.7* |
*
P < .05;
**
P < .01,
***
P < .001.
a
Rate per 100 000 live births. Denominators were 2 000 877 births in 2006–2010 and 1 950 896 births in 2011–2015.
b
Individual cause-of-death categories are shown separately under subtotals when they contained ≥10 deaths in either time period; however, residual categories are not shown to save space and promote clarity of presentation. Data not shown separately for categories with <10 deaths during the period.