Obstetric Comorbidity and Severe Maternal Morbidity Among Massachusetts Delivery Hospitalizations, 1998–2013.
Objectives: The rate of severe maternal morbidity in the United States increased approximately 200% during 1993–2014. Few studies have reported on the health of the entire pregnant population, including women at low risk for maternal morbidity. This information might be useful for interventions aime...
| Publicado en: | Maternal & Child Health Journal Vol. 23; no. 9; pp. 1152 - 1159 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137705833&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137705833 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Sep2019 vid: 23 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 137705833 137705833 137705833 10.1007/s10995-019-02796-3 137705833 ppf: 1152 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Obstetric Comorbidity and Severe Maternal Morbidity Among Massachusetts Delivery Hospitalizations, 1998–2013. aug: au: Somerville, Nicholas J. Nielsen, Timothy C. Harvey, Elizabeth Easter, Sarah Rae Bateman, Brian Diop, Hafsatou Manning, Susan E. affil: Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, GA, USA sug: subj: Comorbidity Delivery, Obstetric Hospitalization Massachusetts Pregnancy Complications Maternal-Child Health Pregnancy Female Massachusetts Human Algorithms Risk Assessment Female ab: Objectives: The rate of severe maternal morbidity in the United States increased approximately 200% during 1993–2014. Few studies have reported on the health of the entire pregnant population, including women at low risk for maternal morbidity. This information might be useful for interventions aimed at primary prevention of pregnancy complications. To better understand this, we sought to describe the distribution of comorbid risk among all delivery hospitalizations in Massachusetts and its association with the distribution of severe maternal morbidity. Methods: Using an existing algorithm, we assigned an obstetric comorbidity index (OCI) score to delivery hospitalizations contained in the Massachusetts pregnancy to early life longitudinal (PELL) data system during 1998–2013. We identified which hospitalizations included severe maternal morbidity and calculated the rate and frequency of these hospitalizations by OCI score. Results: During 1998–2013, PELL contained 1,185,182 delivery hospitalizations; of these 5325 included severe maternal morbidity. Fifty-eight percent of delivery hospitalizations had an OCI score of zero. The mean OCI score increased from 0.60 in 1998 to 0.82 in 2013. Hospitalizations with an OCI score of zero comprised approximately one-third of all deliveries complicated by severe maternal morbidity, but had the lowest rate of severe maternal morbidity (22.8/10,000 delivery hospitalizations). Conclusions: The mean OCI score increased during the study period, suggesting that an overall increase in risk factors has occurred in the pregnant population in Massachusetts. Interventions that can make small decreases to the mean OCI score could have a substantial impact on the number of deliveries complicated by severe maternal morbidity. Additionally, all delivery facilities should be prepared for severe complications during low-risk deliveries. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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