Social vulnerability significantly impacts perinatal medical risks for both mothers and fetuses, with one-third of maternal deaths between 2016-2018 linked to it.
A considerable portion of these deaths (73%) involved sub-optimal care, with a higher chance of avoidability (63%) compared to women without social vulnerability (56%).
The study highlights the importance of enhancing the interaction between socially vulnerable women and healthcare systems to reduce maternal mortality and improve outcomes.
* The majority of cases occurred during labor, with an average time from symptom onset to death being about 4 hours and 45 minutes, highlighting the rapid progression of the condition.
* Preventability was suggested for 35% of these deaths, indicating opportunities for improvement in medical skills, communication, and health care organization; autopsies were conducted in 38% of the cases.
* Conducted at a hospital in western French Guyana from 1992 to 2004, the retrospective cohort study included 29 women and examined outcomes like pre-eclampsia, preterm delivery, and neonatal mortality.
* Results indicated that prophylactic transfusions reduced vaso-occlusive crises and preterm deliveries but led to an increase in intrauterine growth restriction, suggesting a mixed impact on complications, warranting further research through a randomized study.