Friday, December 8, 2023

Maternal Deaths Rising

 The Mississippi State Department of Health issued the following statement. 

The Mississippi Maternal Mortality Review Committee (MMRC) has released a report on deaths from 2016 through 2020. The independent group, established in 2017, reviews maternal deaths to find opportunities for improvement and make recommendations to prevent future deaths in the state.  

Some startling statistics include 80 percent of pregnancy-related deaths in Mississippi were deemed preventable, and 92 percent had some level of opportunity to alter the final outcome (death).  

“This report shows that in 2020, Black, non-Hispanic women had a pregnancy-related mortality rate that is four times higher than White, non-Hispanic women. That’s why the Healthy Moms, Healthy Babies program at MSDH is our top priory. We offer care management and home visits for expectant moms and infants at risk for health problems. Losing one mother is too many,” said Dr. Daniel Edney, State Health Officer, Mississippi State Department of Health (MSDH). 

The death investigations are a stark reminder of the challenges that pregnant women face in Mississippi. 

According to the report, cardiovascular disease and hypertension are the top contributors to maternal mortality, but it “also illuminates a troubling trend of pregnancy-associated death related to mental illness, substance abuse, homicide, and suicide. It is imperative to ensure timely identification, referral, and treatment for those with mental health needs. Thoughtful integrative strategies to lower the burden of mental health, substance abuse, and gun violence will be key to reducing to maternal death from these causes.” 

Nationally, the maternal mortality rate has been increasing as well. In 2020, it rose to 23.8, and in 2021 to 32.9 per 100,000 live births.  

 

Mississippi numbers from 2016-2020 

• The pregnancy-related mortality rate was highest (81.5 per 100,000 live births) in women within the 35-39 age group. 

• The majority (43%) of pregnancy-related deaths occurred in women who were pregnant 43 days up to one year post pregnancy and before death. 

“I am grateful to the leadership and volunteer members of the MMRC who tirelessly leave no question unasked and no stone unturned in exploring what happened and how these deaths might have been prevented. When we know better, we can do better,” said Dr. Edney. 

“We continue our call to action for all elected leaders, healthcare leaders, stakeholders, and community partners to join MSDH in this effort to not only reduce, but minimize maternal infant deaths in Mississippi,” Dr. Edney said. 

 

Committee recommendations include: 

  • Medicaid expansion should be incorporated for rural hospitals to remain open and include access to telehealth services. There is a need for rural healthcare facilities to provide higher levels of critical care, recruit and retain adequate providers, and have access to life saving equipment, especially in the most vulnerable areas of the state. 
  • Improve utilization of telehealth services in rural areas for pregnant women and families to easily access maternal and fetal medicine specialists.  
  • There should be communication between all providers caring for the same patient during the same time period. Mental health providers should be included in the communication loop (if applicable) and equipped to handle all referrals from other providers. 

 

  • All healthcare providers should have knowledge and/or education regarding urgent maternal warning signs.  
  • Women should have adequate paid maternity leave to allow for the appropriate amount of recovery time needed before returning to work after giving birth.  
  • Patients and their families should be educated on maternal early warning signs.

Note: The MMRC was developed with guidance from the Centers for Disease Control and Prevention’s (CDC) Division of Reproductive Health and modeled after well‐established review committees in the United States. The committee includes representation from a broad range of physicians and nurses from multiple specialties (obstetrics and gynecology, cardiology, pulmonary medicine, anesthesiology, maternal‐fetal medicine, public health), community leaders, and other health/safety-related professionals who extensively review maternal deaths to identify opportunities for prevention. MSDH does not influence or alter recommendations. 

 

17 comments:

Anonymous said...

https://wallethub.com/edu/safest-states-to-live-in/4566

the distance from a rural car accident to a hospital in mississippi is what pushed us to be the second most dangerous state in the country to live in.

Anonymous said...

Subsidizing rural Mississippi is an economic dead-end. Keeping open empty hospitals with staff is fiscal lunacy.

Anonymous said...

Sorry sparky @ 8:30pm, heart disease and gun violence both are killing more than the car accidents in Mississippi.

Of course, being far from a hospital or paramedics kills people in many ways.

Mississippi #1 in the USA in car accident dath rate - in 2021 26.2 deaths per 100,000 population.

Mississippi is #1 in USA in gun death rate - in 2021 32.6 deaths per 100,000 population.

Mississippi is #2 in heart disease deaths, just behind Oklahoma. In 2021 Mississippi experienced 447 heart disease deaths per 100,000 population.

Anonymous said...

Bottom line - This whole thread is nothing more than an unpaid commercial for Medicaid expansion.

Anonymous said...

"the distance from a rural car accident to a hospital in mississippi is what pushed us to be the second most dangerous state in the country to live in."

Solution: Faster ambulance response protocol, better equipped ambulances with professionally trained personnel on board (not just somebody checking vitals en route).

Anonymous said...

@3:11am

"The distance from a rural car accident to a hospital in Mississippi is what pushed us to be the second most dangerous state in the country to live in."

Solution: Realize that death and dying are a part of life in any given community, especially if people engage in poor lifestyle choices and reckless, irresponsible behavior (who's no one's fault but their parents).

The other instances are called a tragedy, and they happen too. Today's generation has no idea what what's coming over the horizon for them - and how they're going to be forced to embrace this realization. The media sensationalizes statistics to create a truly meaningless "story".

Anonymous said...

@7:34 tell it like it is brother... people die

Anonymous said...

What happened to Tate’s promise to improve access to hospital care for rural/ poor Mississippians? Hint: that was a lie. Won’t happen.

Anonymous said...

7:34 am... You live in a very small bubble!

Those of us who actually interact with those outside our little tribal groups know rather a lot of people who have been responsible and kind and experienced a tragic event that was beyond their control.

I would remind you too, that especially in MS, there are not a lot of jobs in many of our communities. Relocation costs money. Reliable and accessible public transportation is not common. Getting an affordable car that will last very long after driving it off the lot here is a crap shoot. We don't do much to encourage honest business dealing in this state.

I would also suggest you try, just for a week (I doubt you could manage more than that) ,to live on minimum wage.

I was close friends with a woman from a very good family, who did everything right. Her husband left to run an errand and never returned. She had small children and at his urging had "retired" to be a full time mother. Her bank account was not only emptied, he had taken out loans with all their property as collateral.

Also, try to budget on the income of the widows of veterans or families of wounded veterans. I would remind you between Vietnam and the Gulf Wars, we have a lot of them. Do you claim serving in our military is a "bad decision" and all our military men are " losers" like Trump thinks?

I know you lack imagination, but just try to pretend a con man or cyber thief or catastrophic weather event has taken everything you own. Now start over. You are smart and make good decisions...you are still your egotistically perfect self. Remember, first you must walk to get to the places you need to go.

Gosh, you don't even watch tv...you assume all those folks who were attacked in Israel or Gaza didn't make good lifestyle decisions and war couldn't happen here! Feel the same about the Jews in countries Germany conquered , do yoU? Or are you just another confident predator or crook ?



Anonymous said...

3:08am is right. Medicaid expansionists (like Nothside Sun) are relentless in screaming for socialist spending to cover up punk parenting and decadent schools in MS.

Anonymous said...

I wonder how many of these deaths were from wanted, planned pregnancies or pregnancies caused by just having sex with someone they may or may not even know. If it was the later, I doubt the woman even cared about getting the proper pre-natal treatment even if it was readily available.

Anonymous said...

Because I was wondering who was on this committee, I looked it up. It's a bunch of doctors, which I suppose one would expect. I guess it is no surprise that doctors want to spend money money on one of stated goals of this committee -- that is, health equity. In other words, any suggestions that they make are filtered by the notion that someone who doesn't want to pay for their own healthcare, can't pay for their own healthcare, or is in one of the "special groups" should have the same healthcare as, say, Elon Musk or Bill Gates. The precepts of this committee are socialist before they even examine the medical issue that is part of their nomenclature. Now, I don't see why our state board of health is obligated to give them a microphone. But, everyone seems to have microphone equity these days, too.

Anonymous said...

I am 9:47am and just read today's Northside Sun's editorial promoting Vouchers and Parental Coice of Schools, as a first step to improving the futures of impoverished Mississippians, including in the Delta. This was a welcome, albeit late, change in editorial focus. Well said, Wyatt Emerich et al!

Anonymous said...

December9 9:36 AM, do you even live in Mississippi? Or were you sent to this thread, by whatever it is that employs you, to deliver little slapdowns, and thus help "control Internet dialogue"?

The short post to which you have reacted with your voluminous and extremely rude reply, contained an excellent and important QUALIFIER: "especially if". That qualifier negates the validity of your response.

The toxic salad of groundless assumptions you proceed to make about 7:34AM, is a tactic typical of Leftist "operatives" (and of third-rate Lawyers). Then, there are the 'Guilting' and 'What If', tactics employed in your post, which, to anyone actually familiar with Mississippi, come off as being desperate and ridiculous.

Anonymous said...

Here's a current, partial list of deserts in Mississippi, the collective absence of which calls for drastic action, right?:

Food Deserts
Hospital Deserts
Medical Clinic Deserts
Law Offices For The Poor Deserts
Automobile Dealership Deserts
Farm Implement Sales and Service Deserts
School Building Deserts
Higher Education Venue Deserts
Nail, Weave and Beauty Salon Deserts
Gym & Workout Facility Deserts
Church Deserts
Theater, Dance, Concert Venue Deserts
Shooting Range and Ax Throwing Deserts

I have a couple more pages but will save them for later.

Just how many (and which) of these deserts should we, as a society, try to solve, and at what cost?

Anonymous said...

get a you tube video talk by peter zeihan. you will understand that manufacturing is on boarding back to states. guess where it is going? to us! we have regionally poor healthcare and education. thus attracting corporations with none of this needed infrastructure is hard.

not everything is even about “investment,” in rural areas in regard to fiscal return. however, the math for the state does show it would yield significant fiscal return in addition to making people healthier. it is more about mississippians from rural areas are as valuable as those from the metro, southhaven, or tupelo. they shouldnt just be allowed to die because having a healthcare infrastructure isnt in ones idea as a good fiscal return on investment.

Anonymous said...

Was the 12:57 post generated by AI? ...really defective AI?


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If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

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