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The rates of maternal and infant mortality due to complications of pregnancy have decreased by over 23% since 1990, from 377,000 deaths to 293,000 deaths. Most deaths can be attributed to infection, maternal bleeding, and obstructed labor, and their incidence of mortality vary widely internationally. [ 10 ]
Nicolaides has developed methods of (i) screening for premature birth (which is the main cause of perinatal morbidity and mortality) by measurement of cervical length and prevention through the use of vaginal progesterone, [9] (ii) screening for pre-eclampsia (which is one of the main causes of maternal mortality) by measurement of blood flow ...
Eclampsia, like pre-eclampsia, tends to occur more commonly in first pregnancies than subsequent pregnancies. [38] [39] [40] Women who have long term high blood pressure before becoming pregnant have a greater risk of pre-eclampsia. [38] [39] Patients who have gestational hypertension and pre-eclampsia have an increased risk of eclampsia. [41]
[4] [5] In those with pre-eclampsia, delivery of the baby and placenta is an effective treatment [4] but full recovery can take days or weeks. [13] The point at which delivery becomes recommended depends on how severe the pre-eclampsia and how far along in pregnancy a woman is. [4]
Preeclampsia superimposed on chronic hypertension occurs when a pregnant woman with chronic hypertension develops signs of pre-eclampsia, typically defined as new onset of proteinuria ≥30 mg/dL (1+ in the dipstick) in at least 2 random urine specimens that were collected ≥4 h apart (but within a 7-day interval) or 0.3 g in a 24-h period. [19]
Adults born preterm have higher all-cause mortality rates as compared to full-term adults. Premature birth is associated with a 1.2x to 1.6x increase in all-cause mortality rates during early to mid-adulthood. Those born extremely prematurely (22–27 weeks) have an even higher mortality rate of 1.9x to 4.0x. [3]
The low birth rates in the contemporary United States can possibly be ascribed to the recession, which led families to postpone having children and fewer immigrants coming to the US. The current US birth rates are not high enough to maintain the size of the U.S. population, according to The Economist. [69] [70]
In the US, the average age at which women bore their first child advanced from 21.4 years old in 1970 [11] to 26.9 in 2018. [4]The German Federal Institute for Population Research claimed in 2015 the percentage for women with an age of at least 35 giving birth to a child was 25.9%.