A 29-year-old woman presents with severe vaginal bleeding and hypotension (BP 80/50, HR 120, RR 22) two days after vaginal delivery of her second child. Despite aggressive fluid resuscitation and transfusion of 6 units packed RBCs, hemoglobin drops to 6.2 g/dL. She develops disseminated intravascular coagulation and expires from hypovolemic shock. County health officials reviewing annual data identify 4 pregnancy-related maternal deaths among 20,000 live births. No thrombophilia is documented. Which calculation represents the maternal mortality ratio?
- A)400 per 1,000 pregnancies
- B)40 per 100,000 live births
- C)20 per 100,000 live birthsGABARITO
- D)2 per 1,000 live births
- E)200 per 100,000 women
Explicação
Maternal mortality ratio is the number of pregnancy related maternal deaths divided by the number of live births, multiplied by 100,000. Here, 4/20,000 × 100,000 = 20 per 100,000 live births. This is the standard public health expression for maternal mortality... Ver explicação completa e trilha adaptativa →