© 2005 American Public Health Association DOI: 10.2105/AJPH.2005.072017
The authors are with the Maryland Department of Health and Mental Hygiene, Baltimore. Correspondence: Requests for reprints should be sent to Isabelle Horon, DrPH, Maryland Department of Health and Mental Hygiene, Vital Statistics Administration, 201 W Preston St, Baltimore, MD 21201 (e-mail: horoni@dhmh.state.md.us).
In the March issue of the Journal, Chang et al. call attention to the finding that homicide is a leading cause of death among pregnant and postpartum women.1 However, their findings substantially underestimate the magnitude of the problem, because data on pregnancy-associated deaths collected by the Centers for Disease Control and Preventions Division of Reproductive Health (DRH) through the Pregnancy Mortality Surveillance System are incomplete.
To collect data for the Pregnancy Mortality Surveillance System, the DRH asks states to voluntarily send death certificates for all maternal deaths, that is, deaths resulting from medical causes related to the pregnancy that occur
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