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Maternal morbidity rates in a managed care population.
F Carol Bruce1, Cynthia J Berg, Mark C Hornbrook
1Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, Georgia, USA. cbruce@cdc.gov
Obstetrics and Gynecology
|May 2, 2008
Summary
Overall, 50% of women experienced at least one maternal morbidity during pregnancy. Common complications like anemia and infections were frequent, highlighting the need for comprehensive data beyond hospitalization records to understand maternal health.
Area of Science:
- Reproductive Health
- Public Health
- Epidemiology
Background:
- Maternal morbidity encompasses a wide spectrum of pregnancy-related complications.
- Understanding the prevalence of these conditions is crucial for improving maternal care.
- Previous studies may have underestimated morbidity by relying solely on hospitalization data.
Purpose of the Study:
- To identify and estimate the prevalence of maternal morbidities.
- To analyze complication rates by pregnancy outcome and covariates.
- To examine antepartum, intrapartum, and postpartum periods.
Main Methods:
- Utilized electronic data systems from a large health maintenance organization (HMO).
- Developed an algorithm to search International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes.
- Analyzed data for 38 predetermined groups of pregnancy-related complications from 1998-2001.
Main Results:
- Identified 24,481 pregnancies among 21,011 women.
- Overall, 50% of women experienced at least one complication.
- Most common: anemia (9.3%), urinary tract infections (9.0%), mental health conditions (9.0%), hypertensive disorders (8.5%), and pelvic/perineal trauma (7.0%).
Conclusions:
- Linked inpatient and outpatient databases identified a broad range of maternal complications.
- Common morbidities often do not require hospitalization and would be missed in hospital-only studies.
- Findings enhance understanding of the extent and types of maternal morbidity.
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