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Antenatal hospitalization among enlisted servicewomen, 1987-1990
M M Adams1, F E Harlass, A P Sarno
1Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA.
Obstetrics and Gynecology
|July 1, 1994
Summary
Antenatal hospitalization occurred in 26.8% of enlisted women, with preterm labor being the most common reason. This indicates significant antenatal morbidity in this healthy population.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Antenatal hospitalization rates and indications are crucial indicators of maternal morbidity.
- Understanding these factors is essential for optimizing prenatal care and resource allocation.
Purpose of the Study:
- To determine the prevalence of antenatal hospitalization.
- To identify the primary indications for hospitalization among enlisted women delivering live and stillborn infants.
Main Methods:
- Retrospective cohort study of 1825 enlisted women delivering between 1987-1990.
- Exclusion of multiple gestations and pregnancies <20 weeks.
- Abstracted records for all preterm deliveries and a 1/3 sample of term deliveries.
Main Results:
- Overall antenatal hospitalization prevalence was 26.8%.
- Leading indications included preterm labor (44.0%), preeclampsia (10.3%), hyperemesis (5.5%), and infections (4.7%).
- Hospitalization rates peaked between 33-36 weeks gestation.
Conclusions:
- Antenatal hospitalization is common in this population of healthy enlisted women.
- Preterm labor is the most frequent reason for hospitalization, highlighting its impact on maternal morbidity.
- Findings suggest a need for continued monitoring and management of antenatal complications.