Rate and causes of severe maternal morbidity at readmission: California births in 2008-2012

被引：25

作者：

Girsen, Anna I. ^{[1
]}

Sie, Lillian ^{[2
]}

Carmichael, Suzan L. ^{[1
,2
]}

Lee, Henry C. ^{[2
,3
]}

Foeller, Megan E. ^{[1
]}

Druzin, Maurice L. ^{[1
]}

Gibbs, Ronald S. ^{[1
]}

机构：

[1] Stanford Univ, Dept Obstet & Gynecol, Div Maternal Fetal Med, Stanford, CA 94305 USA

[2] Stanford Univ, Dept Pediat, Div Neonatal & Dev Med, Stanford, CA 94305 USA

[3] Calif Pediat Qual Care Consortium, Stanford, CA USA

来源：

JOURNAL OF PERINATOLOGY | 2020年 / 40卷 / 01期

关键词：

MORTALITY; DELIVERY;

D O I：

10.1038/s41372-019-0481-z

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective To determine the rate, maternal characteristics, timing, and indicators of severe maternal morbidity (SMM) that occurs at postpartum readmission. Study design Women with a birth in California during 2008-2012 were included in the analysis. Readmissions up to 42 days after delivery were investigated. SMM was defined as presence of any of the 21 indicators defined by ICD-9 codes. Results Among 2,413,943 women with a birth, SMM at readmission occurred in 4229 women. Of all SMM, 12.1% occurred at readmission. Over half (53.5%) of the readmissions with SMM occurred within the first week after delivery hospitalization. The most common indicators of SMM were blood transfusion, sepsis, and pulmonary edema/acute heart failure. Conclusion Twelve percent of SMM was identified at readmission with the majority occurring within 1 week after discharge from delivery hospitalization. Because early readmission may reflect lack of discharge readiness, there may be opportunities to improve care.

引用

页码：25 / 29

页数：5

共 34 条

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