Observational studyJournal of perinatology : official journal of the California Perinatal Association2018
Severe maternal morbidity and related hospital quality measures in Maryland.
Observational study in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Global burden of potentially life-threatening maternal conditions: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Are birth outcomes in low risk birth cohorts related to hospital birth volumes? A systematic review.BMC pregnancy and childbirth · 2021Pooled it
- Social Determinants of Pregnancy-Related Mortality and Morbidity in the United States: A Systematic Review.Obstetrics and gynecology · 2020Pooled it
- Measuring Severe Maternal Morbidity: Current Practices, Challenges, and Opportunities.Obstetrics and gynecology · 2026Review
- Fairness in Low Birthweight Predictive Models: Implications of Excluding Race/Ethnicity.Journal of racial and ethnic health disparities · 2026Article
- Obstetric complications and socio-demographic characteristics associated with severe maternal morbidity at Mbeya Zonal Referral Hospital, Tanzania: a case-control study.Frontiers in global women's health · 2026Article
- Maternal Vulnerability Index and Severe Maternal Morbidity.JAMA network open · 2025Article
- Predictive models for low birth weight: a comparative analysis of algorithmic fairness-improving approaches.The American journal of managed care · 2025Article
- Determinants of potential life-threatening maternal conditions (PLTCs) in Tigray, northern Ethiopia: a case‒control study.Scientific reports · 2024Article
- Remapping racial and ethnic inequities in severe maternal morbidity: The legacy of redlining in California.Paediatric and perinatal epidemiology · 2023Article
- Identification of racial/ethnic disparities associated with severe maternal morbidity using the Arkansas All-Payer Claims Database (2013-2017).Birth (Berkeley, Calif.) · 2023Observational
- Neighborhood disinvestment and severe maternal morbidity in the state of California.American journal of obstetrics & gynecology MFM · 2023Article
- Maternal Centric Measurement and Data Gaps in Addressing Maternal Morbidities: A Scoping Review.Maternal and child health journal · 2023Article
- Findings From Severe Maternal Morbidity Surveillance and Review in Maryland.JAMA network open · 2022Article
- Severe maternal morbidity and other perinatal complications among women with physical, sensory, or intellectual and developmental disabilities.Paediatric and perinatal epidemiology · 2022Article
- A prediction nomogram for neonatal acute respiratory distress syndrome in late-preterm infants and full-term infants: A retrospective study.EClinicalMedicine · 2022Article
- A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality.Children (Basel, Switzerland) · 2022Review
- Comorbidity, poverty and social vulnerability as risk factors for mortality in pregnant women with confirmed SARS-CoV-2 infection: analysis of 13 062 positive pregnancies including 176 maternal deaths in Mexico.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2022Article
- A scoping review of severe maternal morbidity: describing risk factors and methodological approaches to inform population-based surveillance.Maternal health, neonatology and perinatology · 2021Article
- Understanding racial disparities in severe maternal morbidity using Bayesian network analysis.PloS one · 2021Observational
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine hospital characteristics and quality metrics associated with severe maternal morbidity (SMM) in Maryland. STUDY
designA population-based observational study of 364,113 statewide delivery hospitalizations during 2010-2015 linked with socio-economic community measures and hospital characteristics and quality measures. Multivariable logistic regression models with generalized estimating equations estimated SMM adjusting for individual, community, and hospital-level factors and clustering within hospitals and residence zip codes.
resultsThe SMM prevalence was 197 per 10,000 deliveries. Adjusted SMM risk ratios were higher for younger (<20 years), older (35+ years), non-White non-Hispanic, unmarried, multiple substance users, women with multiple gestations, and chronic medical and mental health conditions than their counterparts. Communities with greater socio-economic disadvantage and hospitals with poorer patient experience and clinical care quality had higher rates of SMM.
conclusionAddressing socio-economic disparities and improving quality of care in delivery hospitals are key to reducing the SMM burden in Maryland.
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Registered trials
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