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  1. Article ; Online: Measuring US Maternal Mortality.

    Declercq, Eugene / Thoma, Marie

    JAMA

    2023  Volume 330, Issue 18, Page(s) 1731–1732

    MeSH term(s) Maternal Mortality ; United States/epidemiology ; Humans ; Female ; Pregnancy
    Language English
    Publishing date 2023-10-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2023.19945
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Changes in Pregnancy-Related Mortality Associated With the Coronavirus Disease 2019 (COVID-19) Pandemic in the United States.

    Thoma, Marie E / Declercq, Eugene R

    Obstetrics and gynecology

    2023  Volume 141, Issue 5, Page(s) 911–917

    Abstract: Objective: To examine pregnancy-related mortality ratios before (January 2019-March 2020) and during (April 2020-December 2020 and 2021) the coronavirus disease 2019 (COVID-19) pandemic overall, by race and ethnicity, and by rural-urban classifications ... ...

    Abstract Objective: To examine pregnancy-related mortality ratios before (January 2019-March 2020) and during (April 2020-December 2020 and 2021) the coronavirus disease 2019 (COVID-19) pandemic overall, by race and ethnicity, and by rural-urban classifications using vital records data.
    Methods: Mortality and natality data (2019-2021) were obtained from the Centers for Disease Control and Prevention's WONDER database to estimate pregnancy-related mortality ratios, which correspond to any death during pregnancy or up to 1 year after the end of a pregnancy from causes related to the pregnancy per 100,000 live births. Pregnancy-related mortality ratios were determined from International Classification of Diseases, Tenth Revision codes A34, O00-O96, and O98-O99. Overall pregnancy-related mortality ratios were partitioned by whether COVID-19 was listed as a contributory cause, and quarterly estimates were compared between 2019 and 2021. Pregnancy-related mortality ratios were compared by race and ethnicity and rural-urban residence before (2019-March 2020) and during (April 2020-December 2020 and 2021) the COVID-19 pandemic.
    Results: Pregnancy-related mortality was significantly higher in 2021 (45.5/100,000 live births) compared with during the pandemic in 2020 (36.7/100,000 live births) and before the pandemic (29.0/100,000 live births). Pregnancy-related mortality ratios increased across all race and ethnicity and rural-urban residence categories in 2021. The largest increase occurred among American Indian/Alaska Native people during 2021 compared with April-December of 2020 (pregnancy-related mortality ratio 160.8 vs 79.0/100,000 live births, 104% relative change, P =.017). Medium-small metropolitan (52.4 vs 37.7/100,000 live births, 39.0% relative change, P <.001) and rural (56.2 vs 46.5/100,000 live births, 21.0% relative change, P =.05) areas had a larger increase in 2021 compared with April-December 2020 compared with large urban areas (39.1 vs 33.7/100,000 live births, 15.9% relative change, P =.009).
    Conclusion: Pregnancy-related mortality ratios increased more rapidly in 2021 than in 2020, consistent with rising rates of COVID-19-associated mortality among women of reproductive age. This further exacerbated racial and ethnic disparities, especially among American Indian/Alaska Native birthing people.
    MeSH term(s) Pregnancy ; United States/epidemiology ; Humans ; Female ; Pandemics ; COVID-19 ; Cause of Death ; Ethnicity ; White
    Language English
    Publishing date 2023-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005182
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  3. Article ; Online: All-Cause Maternal Mortality in the US Before vs During the COVID-19 Pandemic.

    Thoma, Marie E / Declercq, Eugene R

    JAMA network open

    2022  Volume 5, Issue 6, Page(s) e2219133

    MeSH term(s) COVID-19 ; Humans ; Influenza A Virus, H1N1 Subtype ; Influenza, Human/epidemiology ; Maternal Mortality ; Pandemics ; Female
    Language English
    Publishing date 2022-06-01
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2022.19133
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  4. Article ; Online: Remembering Marian MacDorman.

    Declercq, Eugene / Cheyney, Melissa

    Birth (Berkeley, Calif.)

    2022  Volume 49, Issue 4, Page(s) 587–588

    Language English
    Publishing date 2022-10-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604869-9
    ISSN 1523-536X ; 0730-7659
    ISSN (online) 1523-536X
    ISSN 0730-7659
    DOI 10.1111/birt.12686
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  5. Article ; Online: Introduction to a Special Issue: Childbirth History is Everyone's History.

    Declercq, Eugene

    Journal of the history of medicine and allied sciences

    2017  Volume 73, Issue 1, Page(s) 1–6

    MeSH term(s) Adult ; Female ; History, 20th Century ; History, 21st Century ; Hospitals, Maternity/history ; Humans ; Maternal-Child Nursing/history ; Midwifery/history ; Parturition ; United States
    Language English
    Publishing date 2017-12-11
    Publishing country England
    Document type Historical Article ; Introductory Journal Article
    ZDB-ID 80280-3
    ISSN 1468-4373 ; 0022-5045
    ISSN (online) 1468-4373
    ISSN 0022-5045
    DOI 10.1093/jhmas/jrx057
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  6. Article ; Online: The Relationship between Social Support and Postnatal Anxiety and Depression: Results from the Listening to Mothers in California Survey.

    Feinberg, Emily / Declercq, Eugene / Lee, Annette / Belanoff, Candice

    Women's health issues : official publication of the Jacobs Institute of Women's Health

    2022  Volume 32, Issue 3, Page(s) 251–260

    Abstract: Background: Perinatal mood and anxiety disorders (PMADs) impact multiple domains of maternal and child well-being. Estimates of postpartum depressive symptoms range from 6.5% to 12.9% and from 8.6% to 9.9% for postpartum anxiety. We sought to identify ... ...

    Abstract Background: Perinatal mood and anxiety disorders (PMADs) impact multiple domains of maternal and child well-being. Estimates of postpartum depressive symptoms range from 6.5% to 12.9% and from 8.6% to 9.9% for postpartum anxiety. We sought to identify the role social support could play in mitigating PMADs.
    Methods: The data are drawn from the Listening to Mothers in California survey; results are representative of women who gave birth in 2016 in a California hospital. The Patient Health Questionnaire-4 was used to assess total symptoms of PMADs and anxiety and depressive symptoms individually. Two questions adapted from the Medical Outcomes Study Social Support Survey were used to assess emotional, practical, and functional (combined) social support. After exclusions for missing data related to PMADs or social support, we analyzed data from 2,372 women.
    Results: At the time of survey administration (mean 5.7 months after birth), 7.0% of respondents reported elevated PMAD symptoms and 45.9% reported that they always received functional social support. In multivariable analysis, controlling for demographic and pregnancy-related factors and prenatal anxiety and depressive symptoms, women who reported consistent support had a prevalence of elevated PMAD symptoms one-half that of those who did not (adjusted odds ratio, 0.50; 95% confidence interval, 0.34-0.74).
    Conclusions: This study suggests that consistent social support serves as a robust protective factor against postpartum symptoms of PMADs. Because many predictors of PMADs are not modifiable, social support stands out as an important target for programmatic intervention, particularly in light of increased isolation related to the COVID-19 pandemic.
    MeSH term(s) Anxiety/epidemiology ; Anxiety/psychology ; California ; Depression, Postpartum/epidemiology ; Depression, Postpartum/psychology ; Female ; Humans ; Mothers/psychology ; Pregnancy ; Social Support ; Surveys and Questionnaires
    Language English
    Publishing date 2022-03-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1085396-0
    ISSN 1878-4321 ; 1049-3867
    ISSN (online) 1878-4321
    ISSN 1049-3867
    DOI 10.1016/j.whi.2022.01.005
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    Zs.A 3298: Show issues Location:
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  7. Article ; Online: Where the Ockenden report goes wrong: Let us keep calm and follow the evidence.

    de Jonge, Ank / De Vries, Raymond / Declercq, Eugene

    BJOG : an international journal of obstetrics and gynaecology

    2022  Volume 130, Issue 1, Page(s) 11–14

    Language English
    Publishing date 2022-08-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2000931-8
    ISSN 1471-0528 ; 0306-5456 ; 1470-0328
    ISSN (online) 1471-0528
    ISSN 0306-5456 ; 1470-0328
    DOI 10.1111/1471-0528.17276
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  8. Article ; Online: Midwife-attended births in the United States, 1990-2012: results from revised birth certificate data.

    Declercq, Eugene

    Journal of midwifery & women's health

    2015  Volume 60, Issue 1, Page(s) 10–15

    Abstract: Introduction: Data on attendance at birth by midwives in the United States have been available on the national level since 1989, allowing for the documentation of long-term trends. New items on payer source and prepregnancy body mass index (BMI) from a ... ...

    Abstract Introduction: Data on attendance at birth by midwives in the United States have been available on the national level since 1989, allowing for the documentation of long-term trends. New items on payer source and prepregnancy body mass index (BMI) from a 2003 revision of the birth certificate provide an opportunity to examine additional aspects of US midwifery practice.
    Methods: The data in this report are based on records on birth attendant gathered as part of the US National Standard Certificate of Live Birth from a public use Web site, Vital Stats (http://www.cdc.gov/nchs/VitalStats.htm), which allows users to create and download specialized tables. Analysis of new items on prepregnancy BMI and birth payer source are limited to the 38 states (86% of US births) that adopted the revised birth certificate by 2012.
    Results: Between 1989 and 2012, the proportion of all births attended by certified nurse-midwives (CNMs) increased from 3.3% to 7.9%. The proportion of vaginal births attended by CNMs reached an all-time high of 11.9%. Births attended by "other midwives" (typically certified professional midwives) rose to a peak of 28,343, or 0.7% of all US births. The distribution of payer source for CNM-attended births (44% Medicaid; 44% private insurance; 6% self-pay) is very similar to the national distribution, whereas the majority (53%) of births attended by other midwives are self-pay. Women whose births are attended by other midwives are less likely (13%) to have a prepregnancy BMI in the obese range than women attended by CNMs (19%) or overall (24%).
    Discussion: The total number of births attended by CNMs and other midwives has remained steady or grown at a time when total US births have declined, resulting in the largest proportions of midwife-attended births in the quarter century that such data have been collected.
    MeSH term(s) Birth Certificates ; Body Mass Index ; Delivery, Obstetric/economics ; Delivery, Obstetric/statistics & numerical data ; Female ; Home Childbirth/trends ; Humans ; Insurance, Health ; Live Birth ; Medicaid ; Midwifery/trends ; Nurse Midwives ; Obesity/complications ; Parturition ; Pregnancy ; Pregnancy Complications ; United States
    Language English
    Publishing date 2015-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2008180-7
    ISSN 1542-2011 ; 1526-9523
    ISSN (online) 1542-2011
    ISSN 1526-9523
    DOI 10.1111/jmwh.12287
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  9. Article ; Online: Childbirth in Brazil: challenging an interventionist paradigm.

    Declercq, Eugene

    Birth (Berkeley, Calif.)

    2015  Volume 42, Issue 1, Page(s) 1–4

    MeSH term(s) Brazil ; Cesarean Section/statistics & numerical data ; Delivery, Obstetric/methods ; Delivery, Obstetric/statistics & numerical data ; Developing Countries ; Elective Surgical Procedures/statistics & numerical data ; Female ; Humans ; Parturition ; Patient Participation ; Pregnancy
    Language English
    Publishing date 2015-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604869-9
    ISSN 1523-536X ; 0730-7659
    ISSN (online) 1523-536X
    ISSN 0730-7659
    DOI 10.1111/birt.12156
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  10. Article ; Online: Is medical intervention in childbirth inevitable in Brazil?

    Declercq, Eugene

    Cadernos de saude publica

    2014  Volume 30 Suppl 1, Page(s) S23–4

    MeSH term(s) Delivery, Obstetric/standards ; Female ; Hospitals, Maternity/standards ; Humans ; Labor, Obstetric ; Pregnancy
    Language Portuguese
    Publishing date 2014-09-11
    Publishing country Brazil
    Document type Journal Article ; Comment
    ZDB-ID 1115730-6
    ISSN 1678-4464 ; 0102-311X
    ISSN (online) 1678-4464
    ISSN 0102-311X
    DOI 10.1590/0102-311xco05s114
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