ArticleAmerican journal of obstetrics and gynecology2019
Maternal drug-related death and suicide are leading causes of postpartum death in California.
Article in American journal of obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07642947 (A Digitally Enhanced Model of Peer Doula Support for Substance Use Disorder and Peripartum Care), which is not on this map. Cited by 74 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Digitally Enhanced Model of Peer Doula Support for Substance Use Disorder and Peripartum Care
Who cites it
74 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessment of Patient-Reported Outcome Measures for Maternal Postpartum Depression Using the Consensus-Based Standards for the Selection of Health Measurement Instruments Guideline: A Systematic Review.JAMA network open · 2022Pooled it
- Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications: A Systematic Review and Meta-analysis.Obstetrics and gynecology · 2021Pooled it
- Self‑harm ideation in perinatal women: Prevalence across gestational and postpartum windows and general risk and protective factors.Dialogues in clinical neuroscience · 2026Article
- Pregnancy, Postpartum, and Parenting Engagement Resource Center: A national resource for researchers, community organizations, and parents with substance use disorders.Drug and alcohol dependence reports · 2026Article
- Perinatal mental health screening and care among those with pregnancy complications.American journal of obstetrics & gynecology MFM · 2026Review
- Maternal Deaths Due to Suicide, Accidental Poisoning and Undetermined Intent Within 5 Years Following Childbirth: A Population-Based Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Association of treatment for prenatal depression with cardiovascular disease within 24 months after delivery.Pregnancy (Hoboken, N.J.) · 2026Article
- "I just held it to myself": screening and treatment experiences of individuals with perinatal suicidal thoughts and behaviors.BMC psychiatry · 2026Article
- Impact of Postpartum Hemorrhage in Postpartum Depressive and Anxiety Symptoms in Twin Delivery: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Predictors of antepartum and postpartum suicidal ideation at a diverse urban obstetric setting.BMC public health · 2026Article
- Impact of substance use and trauma on postpartum readmission rates and hospitalization costs: An observational study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Observational
- Multilevel Factors Associated With Hospitalizations in the First-Year Postpartum Among Persons With Opioid Use Disorder.Substance use & addiction journal · 2025Article
- Detection of Psychological Dysfunction and Suicide Risk Among Postpartum Women.Journal of clinical psychology in medical settings · 2025Article
- Systemic barriers and stigma: Healthcare provider perspectives on perinatal and neonatal care in the fentanyl crisis.Journal of substance use and addiction treatment · 2025Article
- Pregnancy-Related Deaths in the US, 2018-2022.JAMA network open · 2025Article
- Effectiveness of a Behavioral Activation Intervention for Peripartum Women with Opioid Use Disorder.Journal of clinical psychology in medical settings · 2025Article
- Trends in and characteristics of drug overdose morbidity among pregnant and postpartum individuals in California, 2010-2018.American journal of epidemiology · 2025Article
- A perinatal psychiatry access program to address rural and medically underserved populations using telemedicine.BMC women's health · 2025Article
- Feasibility and effectiveness of a smartphone access program for promoting engagement in care among perinatal people with substance use disorders: a pilot study.Frontiers in health services · 2025Article
- Navigating promise and perils: applying artificial intelligence to the perinatal mental health care cascade.npj health systems · 2025Review
14 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
backgroundReducing maternal mortality is a priority in the United States and worldwide. Drug-related deaths and suicide may account for a substantial and growing portion of maternal deaths, yet information on the incidence of and sociodemographic variation in these deaths is scarce.
objectiveWe sought to examine incidence of drug-related and suicide deaths in the 12 months after delivery, including heterogeneity by sociodemographic factors. We also explored maternal decedents' health care utilization prior to death. STUDY
designThis retrospective, population-based cohort study followed up 1,059,713 women who delivered a live-born infant in California hospitals during 2010-2012 to ascertain maternal death. Analyses were conducted using statewide, all-payer, longitudinally-linked hospital and death data.
resultsA total of 300 women died during follow-up, a rate of 28.33 deaths per 100,000 person-years. The leading cause of death was obstetric-related problems (6.52 per 100,000 person-years). Drug-related deaths were the second leading cause of death (3.68 per 100,000 person-years), and suicide was the seventh leading cause (1.42 per 100,000 person-years); together these deaths comprised 18% of all maternal deaths. Non-Hispanic white women, Medicaid-insured women, and women residing in micropolitan areas were especially likely to die from drugs/suicide. Two thirds of women who died, including 74% of those who died by drugs/suicide, made ≥1 emergency department or hospital visit between their delivery and death.
conclusionDeaths caused by drugs and suicide are a major contributor to mortality in the postpartum period and warrant increased clinical attention, including recognition by physicians and Maternal Mortality Review Committees as a medical cause of death. Importantly, emergency department and inpatient hospital visits may serve as a point of identification of, and eventually prevention for, women at risk for these deaths.
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