Hemorrhage has been a leading cause of pregnancy-related death in the Centers for Disease Control and Prevention Pregnancy Mortality Surveillance System since 1987 when reporting began. Pregnancy Mortality Surveillance System data from 2012 to 2019 were analyzed to describe pregnancy-related deaths from hemorrhage. Pregnancy-related mortality ratios were estimated for hemorrhage overall and by hemorrhage subclassifications. Specific subclassifications of hemorrhage-related deaths were analyzed by sociodemographic characteristics. Overall, there were 606 deaths due to hemorrhage. The pregnancy-related mortality ratio for hemorrhage overall was 1.94 per 100,000 live births. Ruptured ectopic pregnancy was the most frequent subclassification (22.9%) of pregnancy-related hemorrhage deaths, followed by postpartum hemorrhage (21.2%). There were no significant trends in the pregnancy-related mortality ratio, overall or among any subclassification of hemorrhage deaths, from 2012 to 2019. Reporting subclassifications of pregnancy-related hemorrhage deaths could improve the ability to focus interventions and assess progress over time.

中文翻译：

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妊娠相关出血死亡：妊娠死亡率监测系统，2012-2019 年。


自 1987 年开始报告以来，出血一直是疾病控制和预防中心妊娠死亡率监测系统中妊娠相关死亡的主要原因。对 2012 年至 2019 年妊娠死亡率监测系统的数据进行了分析，以描述与妊娠相关的出血死亡情况。根据总体出血和出血亚分类估计与妊娠相关的死亡率。根据社会人口学特征分析了出血相关死亡的具体亚分类。总体而言，共有 606 人因出血死亡。与妊娠相关的出血死亡率总体为每 100,000 名活产婴儿 1.94 人。宫外孕破裂是妊娠相关出血死亡中最常见的分类（22.9%），其次是产后出血（21.2%）。从 2012 年到 2019 年，妊娠相关死亡率（总体或任何出血死亡子分类）没有显着趋势。报告妊娠相关出血死亡子分类可以提高集中干预措施和评估随时间推移进展情况的能力。