Georgia Department of Public Health | OASIS Web Query | Definitions

Unless otherwise specified, all numbers and rates pertain to place of residence (not occurrence).

Measures:

Maternal Mortality / Maternal Mortality Ratio

These are complications to the mother associated with pregnancy, childbirth and the time period surrounding these events. ICD10 codes A34, O00O95, and O98O99 (ICD9 630-676). The number of maternal deaths does not include all deaths occurring to pregnant women, but only those deaths reported on the death certificate that were assigned to causes related to or aggravated by pregnancy or pregnancy management. Furthermore, the number excludes deaths occurring more than 42 days after the termination of pregnancy and deaths of pregnant women due to external causes (unintentional injuries, homicides, and suicides). [Hoyert DL. Maternal mortality and related concepts. National Center for Health Statistics. Vital Health Stat 3(33). 2007.]

NOTE: ICD codes are assigned by looking at the literal causes AND the 'pregnancy checkbox' on death certificates. This assignment is performed by NCHS. For more information on maternal mortality from the Georgia Maternal Mortality Review Committee, which benefits from actual reviews of records, please click here: http://dph.georgia.gov/maternal-mortality.

Maternal Mortality Ratio = [The number of Maternal Mortalities / The total number of births] * 100,000.

Late Maternal Death

The death of a woman from direct or indirect obstetric causes more than 42 days but less than one year after termination of pregnancy [Hoyert DL. Maternal mortality and related concepts. National Center for Health Statistics. Vital Health Stat 3(33). 2007.]. ICD10 code O96.

NOTE: ICD codes are assigned by looking at the literal causes AND the 'pregnancy checkbox' on death certificates. This assignment is performed by NCHS. For more information on maternal mortality from the Georgia Maternal Mortality Review Committee, which benefits from actual reviews of records, please click here:http://dph.georgia.gov/maternal-mortality.

Demography:

Mother's Ethnicity
Hispanic or Latino includes persons of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race. Non-Hispanic + Hispanic may not equal the total number of events due to persons of unknown ethnicity.
Mother's Race
Per the Federal Office of Management and Budget, Directive 15 (1997),
  • White is a person having origins in any of the original peoples of Europe, the Middle East or North Africa;
  • Black or African-American is a person having origins in any of the black racial groups of Africa;
  • Asian is a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam;
  • American Indian/Alaska Native is a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment;
  • Native Hawaiian or Other Pacific Islander is a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands;
  • Multiracial is a person declaring 2 or more of these races.

Note: Rates for years prior to year 2000 use population estimates for the denominator that adhere to a different Federal standard for race: White, Black, Asian or Other Pacific Islander, American Indian and Alaska Native. So, unlike years 2000 and after, Multiracial is not included. Also, Asian by itself is not available because it was grouped with Pacific Islander (After 1999 Asian is separate from Native Hawaiian or Other Pacific Islander).

Rates using Census Population Estimates in the denominator are not calculated when a selected race is not available in the denominator, or zero.

Nevertheless, selections available in OASIS' Race query box reflect the 1997 Race classifications described above. Most of the numerators used in indicators in Oasis *do* have the year 2000 race selections. Therefore, selections of multiple years that span <2000 and 2000+ will return a *number (count)* for all race selections, but the *rates* may be limited by the change in racial classifications the federal government used as noted above. In these cases you will see NA1 in the output cell (NA1 therefore by definition will only show up in rates for the years before 2000).

In some cases, the numerator's race classification may be more precise, or up to date, than the Census population estimate counterpart used in the denominator. You may find that there are a number of births of a given race for a county/age-group selection, but no count of population estimated for the denominator. In such cases where the race selection was available for both the numerator and the denominator, but the denominator's estimate was zero, you will see a NA2. If the numerator was greater than the denominator, but the denominator was > 0, you will see a NA3 returned.

Non-Rural
Any county with 35,000 or more total population per year 2000 Census.
Rural
Any county with less than 35,000 total population per year 2000 Census.

V3.1 (4/28/2017)