A series of anesthesia-related maternal deaths in Michigan, 1985-2003.
Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Anesthesiology. 2007;106(6):1096-1104.
The researchers retrospectively analyzed cases of pregnancy-associated deaths involving anesthesia care and found that system errors, lapses in monitoring, and inadequate supervision by anesthesiologists were factors in the deaths.