{"id":"https://openalex.org/W4409123784","doi":"https://doi.org/10.1097/og9.0000000000000076","title":"Substance Use Disorder as a Contributing Factor to Pregnancy-Associated Deaths","display_name":"Substance Use Disorder as a Contributing Factor to Pregnancy-Associated Deaths","publication_year":2025,"publication_date":"2025-04-01","ids":{"openalex":"https://openalex.org/W4409123784","doi":"https://doi.org/10.1097/og9.0000000000000076","pmid":"https://pubmed.ncbi.nlm.nih.gov/41000286"},"language":"en","primary_location":{"id":"doi:10.1097/og9.0000000000000076","doi":"https://doi.org/10.1097/og9.0000000000000076","is_oa":true,"landing_page_url":"https://doi.org/10.1097/og9.0000000000000076","pdf_url":null,"source":{"id":"https://openalex.org/S5407042404","display_name":"O&G Open","issn_l":"2994-9726","issn":["2994-9726"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","ki-jl-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"O&G Open","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1097/og9.0000000000000076","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018402535","display_name":"Ryan Duggal","orcid":"https://orcid.org/0009-0006-7061-4114","observed_orcids":["https://orcid.org/0009-0006-7061-4114"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210144876","display_name":"Duke University Health System","ror":"https://ror.org/03wfqwh68","country_code":"US","type":"education","lineage":["https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210148268","display_name":"University of Utah Health Care","ror":"https://ror.org/047s7ex42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210148268"]},{"id":"https://openalex.org/I4210153540","display_name":"CDC Foundation","ror":"https://ror.org/050103r16","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210153540"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan Duggal","raw_affiliation_strings":["Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I223532165","https://openalex.org/I4210126298","https://openalex.org/I4210144876","https://openalex.org/I4210148268","https://openalex.org/I4210153540"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021007511","display_name":"Amanda A. Allshouse","orcid":"https://orcid.org/0000-0003-0109-7193","observed_orcids":["https://orcid.org/0000-0003-0109-7193"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210144876","display_name":"Duke University Health System","ror":"https://ror.org/03wfqwh68","country_code":"US","type":"education","lineage":["https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210148268","display_name":"University of Utah Health Care","ror":"https://ror.org/047s7ex42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210148268"]},{"id":"https://openalex.org/I4210153540","display_name":"CDC Foundation","ror":"https://ror.org/050103r16","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210153540"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanda A. Allshouse","raw_affiliation_strings":["Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I223532165","https://openalex.org/I4210126298","https://openalex.org/I4210144876","https://openalex.org/I4210148268","https://openalex.org/I4210153540"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087282237","display_name":"Maria Jacqueline Small","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210144876","display_name":"Duke University Health System","ror":"https://ror.org/03wfqwh68","country_code":"US","type":"education","lineage":["https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210148268","display_name":"University of Utah Health Care","ror":"https://ror.org/047s7ex42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210148268"]},{"id":"https://openalex.org/I4210153540","display_name":"CDC Foundation","ror":"https://ror.org/050103r16","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210153540"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maria Small","raw_affiliation_strings":["Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I223532165","https://openalex.org/I4210126298","https://openalex.org/I4210144876","https://openalex.org/I4210148268","https://openalex.org/I4210153540"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001720246","display_name":"Marcela Carolina Smid","orcid":"https://orcid.org/0000-0003-3010-0662","observed_orcids":["https://orcid.org/0000-0003-3010-0662"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210144876","display_name":"Duke University Health System","ror":"https://ror.org/03wfqwh68","country_code":"US","type":"education","lineage":["https://openalex.org/I4210144876"]},{"id":"https://openalex.org/I4210148268","display_name":"University of Utah Health Care","ror":"https://ror.org/047s7ex42","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210148268"]},{"id":"https://openalex.org/I4210153540","display_name":"CDC Foundation","ror":"https://ror.org/050103r16","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210153540"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marcela C. Smid","raw_affiliation_strings":["Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah; the CDC Foundation, Atlanta, Georgia; and the Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I223532165","https://openalex.org/I4210126298","https://openalex.org/I4210144876","https://openalex.org/I4210148268","https://openalex.org/I4210153540"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.07689766,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2","issue":"2","first_page":"e076","last_page":"e076"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11633","display_name":"Prenatal Substance Exposure Effects","score":0.3801000118255615,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11633","display_name":"Prenatal Substance Exposure Effects","score":0.3801000118255615,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10043","display_name":"Substance Abuse Treatment and Outcomes","score":0.22419999539852142,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.05689999833703041,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/substance-use-disorders","display_name":"substance use disorders","score":0.9980000257492065},{"id":"https://openalex.org/keywords/pregnancy-associated-deaths","display_name":"pregnancy-associated deaths","score":0.847000002861023},{"id":"https://openalex.org/keywords/peripartum-women","display_name":"peripartum women","score":0.8169999718666077},{"id":"https://openalex.org/keywords/natural-causes-of-death","display_name":"natural death","score":0.7360000014305115},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.9129999876022339},{"id":"https://openalex.org/keywords/postpartum-mortality","display_name":"postpartum mortality","score":0.8849999904632568},{"id":"https://openalex.org/keywords/timing-of-death","display_name":"timing of death","score":0.7179999947547913},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.6340000033378601}],"concepts":[{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5744581818580627},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4360511302947998},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4117196202278137},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3316395580768585},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.330679714679718},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.07505112886428833},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1097/og9.0000000000000076","doi":"https://doi.org/10.1097/og9.0000000000000076","is_oa":true,"landing_page_url":"https://doi.org/10.1097/og9.0000000000000076","pdf_url":null,"source":{"id":"https://openalex.org/S5407042404","display_name":"O&G Open","issn_l":"2994-9726","issn":["2994-9726"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","ki-jl-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"O&G Open","raw_type":"journal-article"},{"id":"pmid:41000286","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41000286","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"O&G open","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:11265883","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12456568","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12456568","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12456568/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"O G Open","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1097/og9.0000000000000076","doi":"https://doi.org/10.1097/og9.0000000000000076","is_oa":true,"landing_page_url":"https://doi.org/10.1097/og9.0000000000000076","pdf_url":null,"source":{"id":"https://openalex.org/S5407042404","display_name":"O&G Open","issn_l":"2994-9726","issn":["2994-9726"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","ki-jl-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"O&G Open","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G9000858361","display_name":"ELEVATE Center: Reduction of Maternal Morbidity from Substance Use Disorder in Utah","funder_award_id":"U54HD113169","funder_id":"https://openalex.org/F4320337611","funder_display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development"}],"funders":[{"id":"https://openalex.org/F4320337611","display_name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","ror":"https://ror.org/04byxyr05"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":6,"referenced_works":["https://openalex.org/W3007404018","https://openalex.org/W3204328699","https://openalex.org/W4311649134","https://openalex.org/W4323811404","https://openalex.org/W4388486617","https://openalex.org/W6773920675"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W3108674512","https://openalex.org/W1506200166"],"abstract_inverted_index":{"Substance":[0],"use":[1],"disorder":[2],"(SUD)":[3],"is":[4,21,118],"increasingly":[5],"linked":[6],"with":[7,60,72,85],"risk":[8],"of":[9,32,52,128],"accidental":[10],"overdose":[11],"and":[12,16,50,58,61,97,126],"suicide":[13],"among":[14,34],"pregnant":[15],"postpartum":[17,96],"people.":[18,36],"However,":[19],"less":[20,92],"understood":[22],"about":[23],"SUD":[24,63,77,86,125],"as":[25,64,78,87],"a":[26,65,79,88],"contributing":[27,66,80,89],"factor":[28,67,90],"to":[29,45,68,94,101,104,120],"natural":[30,53,130],"manner":[31],"death":[33],"peripartum":[35,56],"This":[37],"study":[38],"used":[39],"National":[40],"Vital":[41],"Statistics":[42],"System":[43],"data":[44],"investigate":[46],"differences":[47],"in":[48,74,83,113],"causes":[49,127],"timing":[51],"deaths":[54,73,82],"between":[55],"women":[57],"girls":[59],"without":[62,76],"their":[69],"deaths.":[70,131],"Compared":[71],"individuals":[75,84],"factor,":[81],"were":[91,98],"likely":[93,100],"occur":[95],"more":[99],"be":[102],"due":[103],"sepsis.":[105],"These":[106],"patterns":[107],"have":[108],"not":[109],"been":[110],"identified":[111],"previously":[112],"the":[114,122],"literature.":[115],"Further":[116],"investigation":[117],"needed":[119],"clarify":[121],"mechanisms":[123],"behind":[124],"pregnancy-associated":[129]},"counts_by_year":[],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}