Publications by authors named "Suzanne Zane"
Purpose: To study familial factors associated with child maltreatment in a birth population, Alaska piloted a mixed-design method that linked child welfare data with the Pregnancy Risk Assessment Monitoring System (PRAMS). We replicated this approach in Oregon and validated it in both states.
Methods: We linked vital records, child welfare, and PRAMS data to create two 2009 birth cohorts for each state: one based on vital records (full birth cohort) and one on PRAMS (stratified random sample).
Objective: To examine characteristics and causes of legal induced abortion-related deaths in the United States between 1998 and 2010.
Methods: Abortion-related deaths were identified through the national Pregnancy Mortality Surveillance System with enhanced case-finding. We calculated the abortion mortality rate by race, maternal age, and gestational age and the distribution of causes of death by gestational age and procedure.
Problem/condition: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States.
Reporting Period Covered: 2009.
Description Of System: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City).
Background: With changing patterns and increasing use of medical abortion in the United States, it is important to have accurate statistics on the use of this method regularly available. This study assesses the accuracy of medical abortion data reported annually to the Centers for Disease Control and Prevention (CDC) and describes trends over time in the use of medical abortion relative to other methods.
Study Design: This analysis included data reported to CDC for 2001-2008.
Problem/condition: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States.
Reporting Period Covered: 1999-2008.
Description Of System: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City).
Clostridial toxic shock, caused by Clostridium sordellii or Clostridium perfringens, is a rare and largely fatal syndrome among reproductive-aged women with genital tract infection, and may occur following various pregnancy outcomes or without pregnancy. Clinicians should be aware of common clinical features of this very rapidly-progressing syndrome including abdominal pain, tachycardia, hypotension, third-space fluid accumulations, hemoconcentration, and marked leukemoid response, often with lack of fever. In this review, we summarize known cases through mid-2011 and information on clinical presentation, diagnosis, treatment, and results of recent investigations regarding pathogenesis, including germination, toxins, and host response that may have important implications for development of preventive or therapeutic interventions.
View Article and Find Full Text PDFObjective: To estimate trends in ectopic pregnancy mortality and examine characteristics of recently hospitalized women who died as a result of ectopic pregnancy in the United States.
Methods: We used 1980-2007 national birth and death certificate data to calculate ectopic pregnancy mortality ratios (deaths per 100,000 live births) overall and stratified by maternal age and race. We performed nonparametric tests for trend to assess changes in ectopic pregnancy mortality over time and calculated projected mortality ratios for 2013-2017.
Problem/condition: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States.
Reporting Period Covered: 2007.
Description Of System: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City).
Problem/condition: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States.
Reporting Period Covered: 2006.
Description Of System: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, New York City, and the District of Columbia); these data are provided to CDC voluntarily.
Objective: In 2005, 4 Clostridium sordellii-associated toxic shock fatalities were reported in young Californian women after medical abortions. The true incidence of this rare disease is unknown, and a population-based study has never been performed. Additional clostridia-associated deaths were sought to describe associated clinical characteristics.
View Article and Find Full Text PDFProblem/condition: CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions.
Reporting Period Covered: This report summarizes and describes data voluntarily reported to CDC regarding legal induced abortions obtained in the United States in 2005.
Description Of System: For each year since 1969, CDC has compiled abortion data by state or area of occurrence.
Problem/condition: CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions.
Reporting Period Covered: This report summarizes and describes data voluntarily reported to CDC regarding legal induced abortions obtained in the United States in 2004.
Description Of System: For each year since 1969, CDC has compiled abortion data by state or area of occurrence.
Objective: To better understand the risk of fatal toxic shock caused by Clostridium sordellii in women who had a recent medical abortion with mifepristone and misoprostol.
Methods: We performed active and passive surveillance for cases of toxic shock associated with medical or spontaneous abortion. To identify the cause of toxic shock, immunohistochemical assays for multiple bacteria were performed on formalin-fixed surgical and autopsy tissues.
Problem/condition: CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions.
Reporting Period Covered: This report summarizes and describes data voluntarily reported to CDC regarding legal induced abortions obtained in the United States in 2003.
Description Of System: For each year since 1969, CDC has compiled abortion data by state or area of occurrence.
Problem/condition: CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions.
Reporting Period Covered: This report summarizes and describes data voluntarily reported to CDC regarding legal induced abortions obtained in the United States in 2001.
Description Of System: For each year since 1969, CDC has compiled abortion data by state or area of occurrence.
Objective: To assess risk factors for legal induced abortion-related deaths.
Methods: This is a descriptive epidemiologic study of women dying of complications of induced abortions. Numerator data are from the Abortion Mortality Surveillance System.
Problem/condition: CDC began abortion surveillance in 1969 to document the number and characteristics of women obtaining legal induced abortions.
Reporting Period Covered: This report summarizes and describes data reported to CDC regarding legal induced abortions obtained in the United States in 2000.
Description Of System: For each year since 1969, CDC has compiled abortion data by state or area of occurrence.
We investigated a large summertime outbreak of acute respiratory illness during May-September 1998 in Alaska and the Yukon Territory, Canada. Surveillance for acute respiratory illness (ARI), influenza-like illness (ILI), and pneumonia conducted at 31 hospital, clinic, and cruise ship infirmary sites identified 5361 cases of ARI (including 2864 cases of ILI [53%] and 171 cases of pneumonia [3.2%]) occurring primarily in tourists and tourism workers (from 18 and 37 countries, respectively).
View Article and Find Full Text PDFObjectives: Ectopic pregnancy is a common condition with significant health consequences; complications are a major cause of maternal mortality in the United States. Accurate ascertainment of the number of ectopic pregnancies occurring in the United States has been dramatically affected by changing medical practices, causing estimates based on hospital data to be falsely low. This study was performed to identify nationally representative data on ectopic pregnancies and determine overlap of these data, to calculate the annual weighted number of ectopic pregnancies and confidence intervals for these estimates, and to determine barriers to estimation of ectopic pregnancy incidence.
View Article and Find Full Text PDFProblem/condition: In 1969, CDC began abortion surveillance to document the number and characteristics of women obtaining legal induced abortions, to monitor unintended pregnancy, and to assist efforts to identify and reduce preventable causes of morbidity and mortality associated with abortions.
Reporting Period Covered: This report summarizes and reviews information reported to CDC regarding legal induced abortions obtained in the United States in 1998.
Description Of System: For each year since 1969, CDC has compiled abortion data by occurrence.