Evidence map›Paper›PMID 34991132›Full record

ArticleObstetrics and gynecology2022

Pregnancy-Associated Deaths Due to Drugs, Suicide, and Homicide in the United States, 2010-2019.

Claire E Margerison, Meaghan H Roberts, Alison Gemmill, Sidra Goldman-Mellor

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
40.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

  1. Pooled it
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  16. Acceptability and use of the Saving Mothers mPOWHER Maternal Health Kit.Journal of racial and ethnic health disparities · 2026
    Article
  17. Review
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  19. Article
  20. 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 · 2025
    Observational

12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Claire E MargerisonDepartment of Epidemiology and Biostatistics, College of Human Medicine, and the Department of Economics, College of Social Science, Michigan State University, East Lansing, Michigan; the Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and the Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced, Merced, California.
Meaghan H Roberts
Alison Gemmill
Sidra Goldman-Mellor
Johns Hopkins University · US

Funding

Pregnancy-associated mortality and morbidity due to drug use, self-harm, and violence: changes during the COVID-19 pandemicR01HD102319 · NICHD · MICHIGAN STATE UNIVERSITY · PI Sidra Goldman-Mellor, Claire E Margerison · 2021 to 2026
$4.4M
Policy Change and Women's HealthR01HD095951 · NICHD · MICHIGAN STATE UNIVERSITY · PI MARGERISON, CLAIRE E · 2019 to 2023
$2.1M
NICHD NIH HHS R01 HD095951NICHD NIH HHS R01 HD102319
6 · The paper itself

Abstract

objectiveTo estimate the prevalence of pregnancy-associated deaths due to drugs, suicide, and homicide nationwide from 2010 to 2019.

methodsUsing U.S. death certificate records from 2010 to 2019 for 33 states plus the District of Columbia, we identified pregnancy-associated deaths using the pregnancy checkbox and International Classification of Diseases, Tenth Revision codes, calculated pregnancy-associated death ratios, and categorized deaths by cause, timing relative to pregnancy, race or ethnicity, and age.

resultsOf 11,782 pregnancy-associated deaths identified between 2010 and 2019, 11.4% were due to drugs, 5.4% were due to suicide, and 5.4% were due to homicide, whereas 59.3% were due to obstetric causes and the remaining 18.5% were due to other causes. Drug-related deaths, suicide, and homicide accounted for 22.2% of pregnancy-associated deaths. All three causes of death increased over the study period, with drug-related pregnancy-associated deaths increasing 190%. Homicide during pregnancy and drug-related deaths, suicides, and homicide in the late postpartum period (43-365 days) accounted for a larger proportion of all deaths in these time periods than the contribution of these causes to all deaths among females of reproductive age. Pregnant and postpartum people identified as non-Hispanic American Indian or Alaska Native were at highest risk of drug-related and suicide death, and people identified as non-Hispanic Black were at highest risk of homicide.

conclusionDeaths due to drug use, suicide, and homicide constitute more than one fifth of all deaths during pregnancy and the first year postpartum. Drug-related deaths and homicides have increased over the past decade. Substantial racial and ethnic inequities in these deaths exist.

Indexed as

AdolescentAdultCase-Control StudiesFemaleHomicideHumansPregnancyPregnancy ComplicationsSubstance-Related DisordersSuicideUnited StatesYoung Adult

Identifiers

PMID34991132
PMCPMC8849543
OpenAlexW4205154617

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.