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This summary is machine-generated.

Maternal and fetal mortality rates are significantly higher on weekends in the U.S. This study found increased risks for stillbirth and maternal death during weekend deliveries, even with fewer comorbidities.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Epidemiology

Background:

  • Weekend hospital admissions are associated with higher mortality rates.
  • Understanding variations in maternal and fetal outcomes by day of the week is crucial for public health.
  • Previous research indicates potential disparities in care based on admission timing.

Purpose of the Study:

  • To compare maternal mortality ratio (MMR) and fetal mortality ratio between weekend and weekday deliveries in the U.S.
  • To analyze other maternal and neonatal outcomes based on the day of death or delivery.
  • To investigate the relationship between maternal/fetal deaths and clinical conditions by day of the week.

Main Methods:

  • Population-level analysis of U.S. live births, maternal deaths, and fetal deaths from 2004-2014.
  • Data sourced from the National Center for Health Statistics (NCHS).
  • Examination of clinical conditions associated with maternal and fetal deaths.

Main Results:

  • Maternal mortality was significantly higher on weekends (22.9/100,000 live births) compared to weekdays (15.3/100,000), p < 0.001.
  • Fetal mortality was also significantly higher on weekends (7.21/100,000) versus weekdays (5.85/100,000), p < 0.001.
  • Higher mortality rates occurred despite fewer serious comorbidities in women delivering on weekends.

Conclusions:

  • A significant increase in U.S. maternal mortality ratio and stillbirth deliveries was observed on weekends.
  • Weekend delivery is associated with elevated risks for maternal and fetal demise.
  • Further research is needed to ascertain the relative representation of antepartum, intrapartum, and postpartum deaths.