AGOS Reproductive Health Report Card 2017

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Presentation transcript:

AGOS Reproductive Health Report Card 2017 Gynecologic Cancer Dr. David Cohn Maternal Morbidity & Mortality Dr. Sarah Kilpatrick Adolescent Reproductive Health & Pregnancy Dr. Maureen Phipps Assisted Reproductive Technologies Dr. Charles Coddington Stillbirth Dr. Robert Silver

Uterine Cancer Incidence = D Sheikh MA et al. Future Oncol 2014 Cote ML et al. CEBP 2015

Uterine Cancer Mortality = D ? Mokdad AH et al. JAMA 2017

Cervical Cancer Incidence to 2013 = A HealthyPeople 2020, Office of Disease Prevention and Health Promotion Cancer Trends Progress Report, NCI

Ovarian Cancer Incidence/Mortality = B Surveillance, Epidemiology and End Results (SEER) Program, NCI

Pregnancy – Related Mortality Ratios in the United States CDC. Pregnancy Mortality Surveillance System. https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html

Deaths From Any Cause Related to or Aggravated by Pregnancy or its Management (Excluding Accidental/ Incidental Causes) During Pregnancy & Childbirth or Within 42 Days of Termination of Pregnancy, Irrespective of the Duration & Site of the Pregnancy, Per 100,000 Births Maternal Mortality, 2016 Health of Women and Children Report Source: CDC, National Vital Statistics System from 2010-2014

Population-level PRMR by Age, Race-Ethnicity and Overall for 2011-2013 Creanga & Callaghan Obstet Gynecol 2017

Trends in U.S. Stillbirth Rate 2013: 5.96/ 1,000 (most recent data) 2012: 6.05 / 1,000 No real change since 2005

Racial disparity persists 2X increased rate – Non Hispanic black

Infant Mortality – High Income Countries We can do better !!

https://www.cdc.gov/teenpregnancy/about/index.htm

AGOS Reproductive Health Report Card 2017 Gynecologic Cancer Grade = Dr. David Cohn Maternal Morbidity & Mortality Grade = Dr. Sarah Kilpatrick Adolescent Reproductive Health Grade = Dr. Maureen Phipps Assisted Reproductive Technologies Grade = Dr. Charles Coddington Stillbirth & Infant Mortality Grade = Dr. Robert Silver