Ranked Severe Maternal Morbidity Index For Population-Level Surveillance by Mode of Delivery.

Details

• Alternative Title:
  Journal of Women'S Health (2002), 2026, v. 35, no. 5: Ranked Severe Maternal Morbidity Index For Population-Level Surveillance by Mode of Delivery.
• Journal Article:
  Journal of Women'S Health (2002)
• Personal Author:
  Womack, Lindsay S. ; Galang, Romeo R. ; Admon, Lindsay K. ; Clark, Elizabeth A. ; Ewing, Alexander C. ; Satten, Glen A. ; Ko, Jean Y. ; Ferre, Cynthia D. ; Kroelinger, Charlan D.
• Description:
  To determine which severe maternal morbidity indicators identify the most in-hospital mortality during delivery hospitalization by delivery mode.
  
  We obtained data from the 1993-2015 Healthcare Cost and Utilization Project's National Inpatient Sample. Separate analyses were conducted for cesarean and vaginal deliveries. We ranked 22 severe maternal morbidity indicators by their overall population-attributable fraction of in-hospital mortality.
  
  We identified 87,864,173 delivery hospitalizations; 27.9% were cesarean deliveries and 72.1% were vaginal deliveries. There were 6,686 records with a discharge disposition of "died," with the most occurring for cesarean deliveries (71.2%). Most deaths had a severe maternal morbidity indicator (cesarean deliveries = 94.2%; vaginal deliveries = 73.5%). Among cesarean deliveries, the top five ranked indicators were as follows:
  
  and
  
  . Among vaginal deliveries, the top five ranked indicators were as follows:
  
  and
  
  . The top three ranked indicators identified 78.8% of in-hospital mortality among cesarean deliveries and 66.0% of in-hospital mortality among vaginal deliveries.
  
  Severe maternal morbidity indicator rankings for cesarean and vaginal deliveries were similar; however, there were differences by delivery mode in the performance of the SMM indicators in identifying in-hospital deaths. Our findings underscore the need for the improved documentation and measurement of severe obstetric complications during pregnancy and the postpartum period at the population level.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Female
  • Pregnancy
  • Delivery, Obstetric
  • Adult
  • Cesarean Section
  • Maternal Mortality
  • Hospital Mortality
  • Population Surveillance
  • Pregnancy Complications
  More +
• Keywords:
  • maternal mortality
  • maternal morbidity
  • population surveillance
  • cesarean delivery
  • vaginal delivery
• Source:
  Journal of Women'S Health (2002), 2026, v. 35, no. 5
• DOI:
  https://doi.org/10.1177/15409996251405046
• ISSN:
  1540-9996 ; 1931-843X
• Pubmed ID:
  41588859
• Pubmed Central ID:
  PMC12884591
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  473-481 (16 pdf pages)
• Volume:
  35
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/260824/cdc_260824_DS1.pdf
• File Type:
  [PDF - 141.41 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:aa404de7e3fbf3a382a3539580b6ddd4cec35e1a78f0058ed8a40102d54b0243077e06302978b842a1ebd799ea3bf4e14ae60adfa3298fa9f04d7cbba7f3c5be