| Title | Maternal morbidity during childbirth hospitalization in California. |
| Publication Type | Journal Article |
| Year of Publication | 2012 |
| Authors | Lyndon A, Lee HC, Gilbert WM, Gould JB, Lee KA |
| Journal | J Matern Fetal Neonatal Med |
| Volume | 25 |
| Issue | 12 |
| Pagination | 2529-35 |
| Date Published | 2012 Dec |
| ISSN | 1476-4954 |
| Keywords | Adolescent, Adult, California, Female, Hospitalization, Humans, Middle Aged, Morbidity, Mothers, Obstetric Labor Complications, Parturition, Pregnancy, Pregnancy Complications, Risk Factors, Socioeconomic Factors, Young Adult |
| Abstract | OBJECTIVE: To determine the incidence and risk factors for maternal morbidity during childbirth hospitalization. METHODS: Maternal morbidities were determined using ICD9-CM and vital records codes from linked hospital discharge and vital records data for 1,572,909 singleton births in California during 2005-2007. Socio-demographic, obstetric and hospital volume risk factors were estimated using mixed effects logistic regression models. RESULTS: The maternal morbidity rate was 241/1000 births. The most common morbidities were episiotomy, pelvic trauma, maternal infection, postpartum hemorrhage and severe laceration. Preeclampsia (adjusted odds ratio [AOR]: 2.96; 95% confidence interval 2.8,3.13), maternal age over 35 years, (AOR: 1.92; 1.79,2.06), vaginal birth after cesarean, (AOR: 1.81; 1.47,2.23) and repeat cesarean birth (AOR: 1.99; 1.87,2.12) conferred the highest odds of severe morbidity. Non-white women were more likely to suffer morbidity. CONCLUSIONS: Nearly one in four California women experienced complications during childbirth hospitalization. Significant health disparities in maternal childbirth outcomes persist in the USA. |
| DOI | 10.3109/14767058.2012.710280 |
| Alternate Journal | J. Matern. Fetal. Neonatal. Med. |
| PubMed ID | 22779781 |
| PubMed Central ID | PMC3642201 |
| Grant List | KL2 RR024130 / RR / NCRR NIH HHS / United States / / Intramural NIH HHS / United States |
