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>First is that we report maternal mortality even when not directly associated with birth -- "Among pregnancy-related deaths with information on timing, 53% occu

>First is that we report maternal mortality even when not directly associated with birth -- "Among pregnancy-related deaths with information on timing, 53% occurred 7–365 days postpartum." If someone gets a surgery and then dies 8 days later due to complications from the surgery, you don't go around saying the death was "not directly associated" with the surgery. There are lots of things that affect the body during pregnancy that can lead to death in the year after. [1] [1] https://www.cdc.gov/vitalsigns/maternal-deaths/index.html#:~:text=In%20the%20week%20after%20delivery,to%201%20year%20after%20delivery https://www.cdc.gov/vitalsigns/maternal-deaths/index.html#:~....

echelon 4y ago
> dies 8 days later due to complications But 365 days? That's sounds like it's mental health related. It seems like we should track cause of death so we can have richer and more actionable information. Edit: I didn't mean to imply that this wasn't postpartum depression. I was curious if/why other nations aren't tracking the full calendar year after birth, and if our way of counting prevents us from directly comparing figures. I want to mathematically compare. Our figures are alarming.
- baby 4y ago
  Are you a doctor?
  - robertlagrant 4y ago
    Are you? If not, on what basis are you assessing that a doctor is required for this question?
- _Microft 4y ago
  "Postpartum depression" is both mental health and maternity related for example.
- jjulius 4y ago
  >That's sounds like it's mental health related. Directly from the cited link in the post you're responding to: >Cardiomyopathy (weakened heart muscle) is the leading cause of deaths 1 week to 1 year after delivery.
- a4isms 4y ago
  Postpartum depression[1] is an example of a something that is _both_ "mental health related" and "pregnancy related." https://en.wikipedia.org/wiki/Postpartum_depression https://en.wikipedia.org/wiki/Postpartum_depression
  - notch656a 4y ago
    It's interesting they include things such as all suicides as pregnancy related death, though. If someone commits suicide 11 months after the kid is born there's no guarantees the reason was the pregnancy or the kid. It's possible but we can't really say that must be it.
    - jjulius 4y ago
      >It's interesting they include things such as all suicides as pregnancy related death, though. That's not actually the case. If you look through the original linked article for the word "suicide" you come across the following... >Pregnancy-related deaths determined by the MMRCs to be suicides... ... which, by used of the word "determined" suggests that they're not just assuming all suicides within a year of giving birth are pregnancy related. In point of fact, this is covered at the very beginning: >Maternal Mortality Review Committees (MMRCs) are multidisciplinary committees that convene at the state or local level to comprehensively review deaths during or within a year of pregnancy (pregnancy-associated deaths). MMRCs have access to clinical and non-clinical information (e.g., vital records, medical records, social service records) to more fully understand the circumstances surrounding each death, determine whether the death was pregnancy-related...
      - notch656a 4y ago
        I appreciate the clarification. It's still not clear to me to me whether the MMRC decided suicide was a pregnancy related death (as note 2 under table 4 seems to indicate). I think your interpretation was the MMRC decided which suicides were pregnancy related, whereas mine was that the MMRC decided that suicides within 1 year were pregnancy related.
- logicalmonster 4y ago
  > It seems like we should track cause of death so we can have richer and more actionable information. I hope I'm remembering this right, and please correct me if my memory or interpretation of this isn't correct. When Covid first emerged and people were diving deeply into all kinds of mortality statistics, one story I saw that was kind of shocking is that there's been no genuine system for counting flu deaths in a normal year. You'd think flu deaths are basically counted by doing something relatively sane such as tallying up deaths in a database labelled with flu (more or less), but it's actually sort of a statistical guess based on number of deaths in a given time period, subtracted by other causes (accidents, cancers, murders, etc), and whatever's left over is labelled with flu.
  - spookthesunset 4y ago
    And then suddenly the entire globe started to test everybody with a pulse for Covid, symptomatic or not. Society has never had that kind of real-time data for tracking a virus. We have zero reference to compare Covid to because nothing has ever been tested quite the same. Thus there is no real way to compare the flu to Covid or even previous pandemics like Zika, SARS, etc…
    - logicalmonster 4y ago
      > And then suddenly the entire globe started to test everybody with a pulse for Covid, This is one of the big reasons that I total distrust and reject the provided mortality statistics with Covid. Statistical comparisons have to be made in similar ways or they're worthless.
      - mikeyouse 4y ago
        All cause mortality / total excess death statistics solve most of these issues and was remarkably higher during Covid... https://public.tableau.com/app/profile/dataviz8737/viz/COVID_excess_mort_withcauses_09282022/WeeklyExcessDeaths https://public.tableau.com/app/profile/dataviz8737/viz/COVID...

echelon 4y ago

> dies 8 days later due to complications But 365 days? That's sounds like it's mental health related. It seems like we should track cause of death so we can have richer and more actionable information. Edit: I didn't mean to imply that this wasn't postpartum depression. I was curious if/why other nations aren't tracking the full calendar year after birth, and if our way of counting prevents us from directly comparing figures. I want to mathematically compare. Our figures are alarming.

baby 4y ago
Are you a doctor?
- robertlagrant 4y ago
  Are you? If not, on what basis are you assessing that a doctor is required for this question?
_Microft 4y ago
"Postpartum depression" is both mental health and maternity related for example.
jjulius 4y ago
>That's sounds like it's mental health related. Directly from the cited link in the post you're responding to: >Cardiomyopathy (weakened heart muscle) is the leading cause of deaths 1 week to 1 year after delivery.
a4isms 4y ago
Postpartum depression[1] is an example of a something that is _both_ "mental health related" and "pregnancy related." https://en.wikipedia.org/wiki/Postpartum_depression https://en.wikipedia.org/wiki/Postpartum_depression
- notch656a 4y ago
  It's interesting they include things such as all suicides as pregnancy related death, though. If someone commits suicide 11 months after the kid is born there's no guarantees the reason was the pregnancy or the kid. It's possible but we can't really say that must be it.
  - jjulius 4y ago
    >It's interesting they include things such as all suicides as pregnancy related death, though. That's not actually the case. If you look through the original linked article for the word "suicide" you come across the following... >Pregnancy-related deaths determined by the MMRCs to be suicides... ... which, by used of the word "determined" suggests that they're not just assuming all suicides within a year of giving birth are pregnancy related. In point of fact, this is covered at the very beginning: >Maternal Mortality Review Committees (MMRCs) are multidisciplinary committees that convene at the state or local level to comprehensively review deaths during or within a year of pregnancy (pregnancy-associated deaths). MMRCs have access to clinical and non-clinical information (e.g., vital records, medical records, social service records) to more fully understand the circumstances surrounding each death, determine whether the death was pregnancy-related...
    - notch656a 4y ago
      I appreciate the clarification. It's still not clear to me to me whether the MMRC decided suicide was a pregnancy related death (as note 2 under table 4 seems to indicate). I think your interpretation was the MMRC decided which suicides were pregnancy related, whereas mine was that the MMRC decided that suicides within 1 year were pregnancy related.
logicalmonster 4y ago
> It seems like we should track cause of death so we can have richer and more actionable information. I hope I'm remembering this right, and please correct me if my memory or interpretation of this isn't correct. When Covid first emerged and people were diving deeply into all kinds of mortality statistics, one story I saw that was kind of shocking is that there's been no genuine system for counting flu deaths in a normal year. You'd think flu deaths are basically counted by doing something relatively sane such as tallying up deaths in a database labelled with flu (more or less), but it's actually sort of a statistical guess based on number of deaths in a given time period, subtracted by other causes (accidents, cancers, murders, etc), and whatever's left over is labelled with flu.
- spookthesunset 4y ago
  And then suddenly the entire globe started to test everybody with a pulse for Covid, symptomatic or not. Society has never had that kind of real-time data for tracking a virus. We have zero reference to compare Covid to because nothing has ever been tested quite the same. Thus there is no real way to compare the flu to Covid or even previous pandemics like Zika, SARS, etc…
  - logicalmonster 4y ago
    > And then suddenly the entire globe started to test everybody with a pulse for Covid, This is one of the big reasons that I total distrust and reject the provided mortality statistics with Covid. Statistical comparisons have to be made in similar ways or they're worthless.
    - mikeyouse 4y ago
      All cause mortality / total excess death statistics solve most of these issues and was remarkably higher during Covid... https://public.tableau.com/app/profile/dataviz8737/viz/COVID_excess_mort_withcauses_09282022/WeeklyExcessDeaths https://public.tableau.com/app/profile/dataviz8737/viz/COVID...