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Mothers at Risk
- Source :
- Journal of Perinatal & Neonatal Nursing. 32:303-314
- Publication Year :
- 2018
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2018.
-
Abstract
- Perinatal complications linked to maternal comorbidities contribute to increased healthcare utilization through an extended postpartum length of stay (LOS). Understanding factors influencing postpartum LOS may minimize the adverse effects associated with comorbidities and complications. The purpose of this study was to identify risk factors with the greatest odds of increasing postpartum LOS. Linked 2008-2009 hospital discharge and birth certificate data were used to examine comorbidities and complication codes in 1 015 424 births. The overall rate for an extended LOS (vaginal: >5 days/cesarean: >6 days) was 3.63 per 1000 live births. Complications were present in 17% of pregnancies; multiple complications were seen in 1%. Chronic hypertension was associated with an extended stay for both vaginal and cesarean births (odds ratio [OR] = 5.89 [95% CI, 4.39-7.88]; OR = 3.57 [95% CI, 3.05-4.17], respectively). Puerperal infections (OR = 6.86 [95% CI, 5.73-8.21]), eclampsia (OR = 17.07 [95% CI, 13.76-21.17]), and transfusions (OR = 11.66 [95% CI, 9.20-14.75]) occurred most frequently and conferred the highest odds of an extended stay for vaginal births. Cerebrovascular conditions (OR = 15.32 [95% CI, 11.90-19.60]) and infection (OR = 15.35 [95% CI, 10.11-23.32]) conferred the highest odds of an extended LOS for cesarean births. The earlier risk factors are recognized, the sooner processes can be initiated to optimize organizational preparation, thus decreasing adverse maternal outcomes and extended hospital stays.
- Subjects :
- Adult
medicine.medical_specialty
Comorbidity
Birth certificate
Critical Care Nursing
Risk Assessment
Pediatrics
California
Odds
03 medical and health sciences
0302 clinical medicine
Pregnancy
Risk Factors
Maternity and Midwifery
medicine
Humans
030212 general & internal medicine
Adverse effect
030219 obstetrics & reproductive medicine
Eclampsia
business.industry
Obstetrics
Postpartum Period
Pregnancy Outcome
Puerperal Disorders
Odds ratio
Length of Stay
Delivery, Obstetric
medicine.disease
Pregnancy Complications
Early Diagnosis
Birth Certificates
Female
business
Postpartum period
Subjects
Details
- ISSN :
- 08932190
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Journal of Perinatal & Neonatal Nursing
- Accession number :
- edsair.doi.dedup.....984153ed71eb9f3fb805b10bc096d490