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Jeani Chang, MPH, Cynthia J. Berg, MD, MPH, Linda E. Saltzman, PhD and Joy Herndon, MS

Jeani Chang, Cynthia J. Berg, and Joy Herndon are with the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga. Linda E. Saltzman is with the Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

Correspondence: Requests for reprints should be sent to Jeani Chang, MPH, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 4770 Buford Highway, NE, Mail Stop K-21, Atlanta, GA 30341–3724 (e-mail: jchang{at}cdc.gov).

Objectives. We identified risk factors for pregnancy-associated homicide (women who died as a result of homicide during or within 1 year of pregnancy) in the United States from 1991 to 1999.

Methods. Pregnancy-associated homicides were analyzed with data from the Pregnancy Mortality Surveillance System at the Centers for Disease Control and Prevention.

Results. Six hundred seventeen (8.4%) homicide deaths were reported to the Pregnancy Mortality Surveillance System. The pregnancy-associated homicide ratio was 1.7 per 100000 live births. Risk factors included age younger than 20 years, Black race, and late or no prenatal care. Firearms were the leading mechanism for homicide (56.6%).

Conclusions. Homicide is a leading cause of pregnancy-associated injury deaths.

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