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The goal of this study was to examine whether sociodemo-graphic,clinical,and other servic e -related factors,as well as preventability issues affec t a woman’s progression along the continuum of morbidity and mortality.This was acase -control study of pregnancy -re lated deaths,women with near -miss morbidity,and those with other severe,but not life threatening,morbidity.Factors associated with maternal outcome were examined.Pro vider factors(related to preventability)and clinical diagnosis were signifi cantly associated with progression along t he continuum after con-trolling for sociodemographic characteristics(P <.01for both associations).In order to improve mortality rates,we must understand maternal morbidity and how it may lead to death.This study shows that importa nt initiatives include addressing preventability,in particular,provider factors,which may play a role in moving women a long the contin-uum of morbidity and mortality.
The goal of this study was to examine whether sociodemo-graphic, clinical, and other servic e-related factors, as well as preventability issues affec ta woman’s progression along the continuum of morbidity and mortality. This was acase-control study of pregnancy-re lated deaths, women with near -miss morbidity, and those with other severe, but not life threatening, morbidity. Factors associated with maternal outcome were examined. Pro vider factors (related to preventability) and clinical diagnosis were signifi cantly associated with progression along t he continuum after con-trolling for sociodemographic characteristics (P <.01 for both associations). In order to improve mortality rates, we must understand maternal morbidity and how it may lead to death. This study shows that import an nt initiatives include addressing preventability, in particular, provider factors, which may play a role in moving women a long the contin-uum of morbidity and mortality.