Abstract
This was a study of 161 obstetric deaths caused by medical diseases which were not a direct effect of the pregnancy but were aggravated by the pregnancy. The most common diseases were heart disease, pulmonary embolus, pneumonia, central nervous system hemorrhage, and kidney disease. There were avoidable factors in 44 per cent of the deaths. The death rate was higher in the non-Caucasian category and with increasing age. There was an associated 59 per cent perinatal mortality rate. Three infants survived 17 postmortem cesarean sections. A significant decrease in the indirect obstetric death rate in the state over the past 18 years was demonstrated. When the results were compared with a 1950 to 1957 study, poliomyelitis, tuberculosis, and hepatitis have dropped from the list. The only increase was in deaths due to pulmonary embolus. The results are discussed for their educational value.
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