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Severe Maternal Morbidity During Delivery Hospitalizations.

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Severe maternal morbidity rates doubled nationally, with significant increases observed in Wisconsin from 2000-2014. Monitoring these trends is crucial for improving maternal care quality and preventing complications.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Health Services Research

Background:

  • Severe maternal morbidities encompass 25 pregnancy-related complications.
  • National rates of severe maternal morbidity have doubled in the past decade.
  • Understanding these trends is vital for improving maternal health outcomes.

Purpose of the Study:

  • To analyze trends in severe maternal morbidity rates during delivery hospitalizations.
  • To examine these trends across diverse demographic groups of Wisconsin women.
  • To identify disparities in severe maternal morbidity.

Main Methods:

  • Utilized Wisconsin hospital discharge data and ICD-9-CM codes (2000-2014).
  • Calculated severe maternal morbidity rates per 10,000 delivery hospitalizations.
  • Analyzed rates by race/ethnicity, age, region, and payer, comparing length of stay and charges.

Main Results:

  • Overall severe maternal morbidity rates increased 104% from 2000-2014.
  • Excluding blood transfusions, rates rose 15% during the same period.
  • From 2010-2014, rates stabilized but showed variations by maternal demographics and region.

Conclusions:

  • Monitoring severe maternal morbidities provides critical insights into perinatal health.
  • This data aids in identifying opportunities for prevention and quality improvement in maternity care.
  • Addressing disparities is essential for equitable maternal health outcomes.