Re: addressing mortality in mothers of infants with congenital anomalies

In their commentary on the article “Associations between the birth of an infant with major congenital anomalies and subsequent risk of mortality in their mothers (1)”, Drs. Romeo and Lamm note that they were surprised that the adjusted hazard ratio (aHR) was not elevated for endocrine/nutritional/metabolic disease, for nervous system disease and for death by unnatural causes. They note that each of these might contribute to stress-related death.