TY  - JOUR
PY  - 2016//
TI  - Deaths from unintentional injury, homicide, and suicide during or within 1 year of pregnancy in Philadelphia
JO  - American journal of public health
A1  - Mehta, Pooja K.
A1  - Bachhuber, Marcus A.
A1  - Hoffman, Roy
A1  - Srinivas, Sindhu K.
SP  - 2208
EP  - 2210
VL  - 106
IS  - 12
N2  - OBJECTIVES: To understand the effect of unintentional injuries (e.g., drug overdose), suicide, and homicide on pregnancy-associated death (death during or within 1 year of pregnancy). <br><br>METHODS: We analyzed all cases of pregnancy-associated death among Philadelphia, Pennsylvania, residents from 2010 to 2014, examining cause of death, contributing factors, and history of health care use. <br><br>RESULTS: Approximately half (49%; 42 of 85) of pregnancy-associated deaths were from unintentional injuries (n = 31), homicide (n = 8), or suicide (n = 3); drug overdose was the leading cause (n = 18). Substance use was noted during or around events leading to death in 46% (31 of 67) of nonoverdose deaths. A history of serious mental illness was noted in 39% (32 of 82) of nonsuicide deaths. History of intimate partner violence (IPV) was documented in 19% (15 of 77) of nonhomicide deaths. Regardless of cause of death, approximately half of all decedents had an unscheduled hospital visit documented within a month of death. <br><br>CONCLUSIONS: Unintentional injury, homicide, and suicide contribute to many deaths among pregnant and recently pregnant women. Interventions focused on substance use, mental health, and IPV may reduce pregnancy-associated and pregnancy-related deaths. (Am J Public Health. Published online ahead of print October 13, 2016: e1-e3. doi:10.2105/AJPH.2016.303473).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2016.303473
ID  - ref1
ER  -