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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. AGOS Reproductive Health Report Card 2017.
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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 AGOS Reproductive Health Report Card 2017
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 !!
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 AGOS Reproductive Health Report Card 2017