The State Knows Why
The increase in deaths related to pregnancy in 2011 it coincided with the start of major budget cuts in Texas. In September of that year, health care providers across the state began to feel the effects of family planning budget cut by two thirds.
The rate of Texas women who die from pregnancy-related causes almost doubled from 2010 to 2014, with the state to see over 600 such deaths in the span of four years.
In a new study, scheduled to be published in the September issue of Obstetrics and Gynecology, the researchers found that Texas experienced a dramatic increase in deaths related to pregnancy, from 2010 to 2012. While the rest of the country also experienced an increase, no other state rate was almost double, as he did in Texas.
Some health experts complain that the state has been slow to respond to the problem. A working group of the state of affairs is almost three years in his work and has published a recommendation.
“We’re really seeing that this is a serious problem with maternal mortality,” said Dr. Daniel Grossman, a gynecologist who studies the effects of legislation on new reproductive health in Texas with Assessment Project Texas Policy in the University of Texas at Austin. “It really seems that is where state officials should focus on trying to improve health and safety.”
From 2006 to 2010, the rate of Texas women who died during pregnancy or within 42 days of being pregnant due to pregnancy-related causes fluctuated between 18.1 and 18.6 deaths per 100,000 live births , according to the study. In 2011, the rate increased to 33, and in 2014 was 35.8.
In 2012, 148 women died from these causes, over 72 deaths two years earlier.
The findings puzzled national researchers and have led them to initiate further study on maternal mortality in Texas. Vitales official statistics, both at the state and national level any change “not identified” in the data recording processes that could have led to the dramatic increase, according to the study.
The Texas Legislature created a working group in 2013 to study pregnancy-related deaths and serious complications in the state. It is set to release his first report to lawmakers on September 1
The working group has been reviewing the cases of women who died or suffered serious complications related to pregnancy. Dr. Lisa Hollier, who specializes in obstetrics at Baylor College of Medicine and leads the working group, said he would like to speed up the review process.
“I would like if things could go faster,” he said.
Hollier said that the methods of national researchers may have “a little inflation” rate of maternal mortality, but the sharp rise in deaths related to pregnancy 2010-2011 is undeniable. She said she and others promoted the creation of the working group in response to increased deaths.
As for the cause of the spike, Hollier said the working group “does not have a specific answer at this time.”
According to the Centers for Disease Control and Prevention, heart disease, infections, bleeding and hypertension are among the leading causes of pregnancy-related deaths in the United States.
The working group has sought guidance from other states that have seen a reduction in deaths related to pregnancy and make recommendations in its September report.
The increase in deaths related to pregnancy in 2011 coincided with the start of major budget cuts in Texas. In September of that year, health care providers across the state began to feel the effects of family planning budget cut by two thirds.
Sarah wheat, a spokeswoman for Planned Parenthood of Greater Texas, said that many family planning clinics that lost funding or closed were a “point of entry into the health system” for women.
“Chances are they will have more difficulty finding a place to go to get that first date,” said Wheat. “They may be delayed in getting that initial pregnancy test and then a referral prenatal.”
The study mentions changes in health services for women and the closure of the clinic, but it was not so far as to suggest that there was a correlation between that and the increase in deaths related to pregnancy.
“However, in the absence of war, natural disaster or severe economic turmoil, doubling the mortality rate within a period of two years in a state with almost 400,000 births per year seems unlikely,” according to the study.
According to the World Health Organization, 99 percent of pregnancy-related deaths occur in developing countries. In developed countries, the maternal mortality rate is 12 per 100,000 live births. Texas has been far superior to the last decade.
“It is a tragedy and it really is a shame,” Grossman said. “This is a problem we should be able to address and solve.”
A spokeswoman for the Department of State Health Services said the department considers the issue “a complex problem.”
“We are aware of the numbers and we want to see a decrease in this trend, and therefore the working group is reviewing these cases closely and make recommendations,” said Carrie Williams.
Post Views: 3