{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T13:35:52Z","timestamp":1774532152502,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,1,14]],"date-time":"2017-01-14T00:00:00Z","timestamp":1484352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine preventability of in\u2010hospital maternal mortality in the Ochsner Health System (OHS) in the US state of Louisiana.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was undertaken of all known cases of in\u2010hospital maternal death (during pregnancy or within 42\u00a0days of termination) that occurred within OHS facilities in 1995\u20132013. Associations between characteristics and mortality and preventability were investigated. Incidence rate ratios (IRRs) were calculated in view of varying reference values.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 16 eligible deaths, 12 (75%) were deemed potentially preventable. The incidences of overall and preventable maternal death were higher if the patient had late entry to prenatal care (IRR 6.3 [<jats:italic>P=<\/jats:italic>0.004] and 8.8 [<jats:italic>P=<\/jats:italic>0.004], respectively). Maternal mortality was increased if the patient had required transfer to the OHS (IRR 15.8 [<jats:italic>P&lt;<\/jats:italic>0.001] overall and 15.8 [<jats:italic>P<\/jats:italic>=0.002] for preventable mortality). Deaths of patients with private insurance were more likely to be not preventable than were those of patients without such insurance (<jats:italic>P=<\/jats:italic>0.003). Uninsured patients had the highest MMR, with an IRR of 13.8 (<jats:italic>P=<\/jats:italic>0.014) when compared with Medicaid patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The factors most predictive of mortality were late entry to prenatal care, critical status requiring transfer from an outside facility, and non\u2010private insurance status.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12074","type":"journal-article","created":{"date-parts":[[2017,1,14]],"date-time":"2017-01-14T07:06:58Z","timestamp":1484377618000},"page":"344-349","source":"Crossref","is-referenced-by-count":3,"title":["A review of the preventability of maternal mortality in one hospital system in Louisiana, USA"],"prefix":"10.1002","volume":"136","author":[{"given":"James J.","family":"Morong","sequence":"first","affiliation":[{"name":"The University of Queensland School of Medicine Ochsner Clinical School New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane K.","family":"Martin","sequence":"additional","affiliation":[{"name":"The University of Queensland School of Medicine Ochsner Clinical School New Orleans LA USA"},{"name":"Department of Obstetrics and Gynecology Ochsner Clinic Foundation New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert S.","family":"Ware","sequence":"additional","affiliation":[{"name":"Child Health Research Centre The University of Queensland School of Medicine Brisbane Qld Australia"},{"name":"Menzies Health Institute Queensland Griffith University Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Alfred G.","family":"Robichaux","sequence":"additional","affiliation":[{"name":"The University of Queensland School of Medicine Ochsner Clinical School New Orleans LA USA"},{"name":"Department of Maternal Fetal Medicine Ochsner Clinic Foundation New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,14]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"World Health Organization.Goal 5: improve maternal health.http:\/\/www.un.org\/millenniumgoals\/maternal.shtml. Accessed May 15 2016."},{"key":"e_1_2_7_3_1","unstructured":"World Health Organization.Maternal mortality ratio (per 100 000 live births).http:\/\/www.who.int\/healthinfo\/statistics\/indmaternalmortality\/en. Accessed June 6 2016."},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","DOI":"10.1596\/978-9-2415-6514-1","volume-title":"Trends in Maternal Mortality 1990 to 2015: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division","author":"World Health Organization","year":"2015"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60518-1"},{"key":"e_1_2_7_6_1","first-page":"1","article-title":"Maternal mortality and related concepts","volume":"3","author":"Hoyert DL","year":"2007","journal-title":"Vital Health Stat"},{"key":"e_1_2_7_7_1","unstructured":"National Women's Law Center.Louisiana: Health Care Report Card.http:\/\/hrc.nwlc.org\/states\/louisiana. 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