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Severe Maternal Morbidity During Delivery Hospitalizations
Crystal Gibson1, Angela M Rohan2,3, Kate H Gillespie2
1Public Health Madison and Dane County, Madison, Wisconsin.
WMJ : Official Publication of the State Medical Society of Wisconsin
|January 23, 2018
Summary
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.
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.
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