© 2005 American Public Health Association DOI: 10.2105/AJPH.2005.072041
The authors are with the Division of Reproductive Health, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Correspondence: Requests for reprints should be sent to Jeani Chang, 4770 Buford Hwy NE, MS, K-21, Atlanta, GA 30341-3724 (e-mail: jchang@cdc.gov).
We appreciate Horons interest in pregnancy-associated mortality and her work in this important area of womens health. For the years of our study, we requested reporting areas (health departments in the 50 states, the District of Columbia, and New York City) to send us deidentified death certificates and, for those deaths after a live birth or stillbirth, matching birth or fetal death certificates. We also asked for certificates for deaths that occurred during pregnancy or within 1 year after pregnancy.
We have no choice but to rely on the methods used by each reporting area to determine whether a death
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