| Maternal morbidity rates in a managed care population. | |
| | |
MedLine Citation:
|
PMID: 18448740 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To identify and estimate prevalence rates of maternal morbidities by pregnancy outcome and selected covariates during the antepartum, intrapartum, and postpartum periods in a defined population of pregnant women. METHODS: We used electronic data systems of a large, vertically integrated, group-model health maintenance organization (HMO) to develop an algorithm that searched International Classification of Diseases, 9th Revision, Clinical Modification, codes for 38 predetermined groups of pregnancy-related complications among women enrollees of this HMO between January 1, 1998, and December 31, 2001. RESULTS: We identified 24,481 pregnancies among 21,011 women. Although prevalence and type of morbidity varied by pregnancy outcome, overall, 50% of women had at least one complication. The most common complications were anemia (9.3%), urinary tract infections (9.0%), mental health conditions (9.0%), hypertensive disorders (8.5%), and pelvic and perineal trauma (7.0%). CONCLUSION: A range of mild-to-severe pregnancy complications were identified using linked inpatient and outpatient databases. The most common complications we found usually do not require hospitalization so would be missed in studies that use only hospitalization data. Our data allowed examination of a broad scope of conditions and severity. These findings increase our understanding of the extent of maternal morbidity. LEVEL OF EVIDENCE: II. |
| | |
Authors:
|
F Carol Bruce; Cynthia J Berg; Mark C Hornbrook; Evelyn P Whitlock; William M Callaghan; Donald J Bachman; Rachel Gold; Patricia M Dietz |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 111 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2008 May |
Date Detail:
|
Created Date: 2008-05-01 Completed Date: 2008-06-12 Revised Date: 2012-02-23 |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
|
Languages: eng Pagination: 1089-95 Citation Subset: AIM; IM |
Affiliation:
|
Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, Georgia, USA. cbruce@cdc.gov |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Female Gestational Age Health Maintenance Organizations* Humans Medical Records Systems, Computerized Morbidity Oregon Pregnancy Pregnancy Complications / epidemiology* Pregnancy Outcome / epidemiology* Prevalence Retrospective Studies |
| Grant Support | |
ID/Acronym/Agency:
|
CDC 200-2001-00074//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bilirubin/albumin ratios in fetal blood and in amniotic fluid in rhesus immunization.
Next Document: Missed opportunities for chlamydia screening of young women in the United States.