Evidence map›Paper›PMID 31306335›Full record

ArticleObstetrics and gynecology2019

Severe Maternal Morbidity Among Stillbirth and Live Birth Deliveries in California.

Elizabeth Wall-Wieler, Suzan L Carmichael, Ronald S Gibbs, Deirdre J Lyell, Anna I Girsen, Yasser Y El-Sayed, Alexander J Butwick

Abstract read
In one paragraph

Article in Obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
8.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Severe Maternal Morbidity Among Adolescents Aged 10-19 in California, 2001-2020.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Association between stillbirth and severe maternal morbidity.American journal of obstetrics and gynecology · 2024
    Article
  12. Call for Improved Fourth Trimester Care After Stillbirth.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Risk factors for postpartum readmission among women after having a stillbirth.American journal of obstetrics & gynecology MFM · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Elizabeth Wall-WielerDepartments of Pediatrics, Obstetrics and Gynecology, and Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Suzan L Carmichael
Ronald S Gibbs
Deirdre J Lyell
Anna I Girsen
Yasser Y El-Sayed
Alexander J Butwick
Twitter (United States) · US

Funding

Severe Maternal Morbidity: An Investigation of Racial-Ethnic Disparities, Social Disadvantage & Maternal WeightR01NR017020 · NINR · STANFORD UNIVERSITY · PI SUZAN L CARMICHAEL · 2018 to 2026
$5.2M
Maternal Health After Stillbirth: An Investigation of Postpartum Hospital Readmission in CaliforniaR03HD095034 · NICHD · STANFORD UNIVERSITY · PI CARMICHAEL, SUZAN L · 2018 to 2019
$157k
NICHD NIH HHS R03 HD095034NINR NIH HHS R01 NR017020
6 · The paper itself

Abstract

objectiveTo assess the prevalence and risk of severe maternal morbidity among delivery hospitalization for stillbirth compared with live birth deliveries.

methodsUsing data from the Office of Statewide Health Planning and Development in California, we performed a population-based cross-sectional study of 6,459,842 deliveries between 1999 and 2011. We identified severe maternal morbidity using an algorithm comprising diagnoses and procedures developed by the Centers for Disease Control and Prevention and used log-binomial regression models to examine the relative risk (RR) of severe maternal morbidity for stillbirth compared with live birth deliveries, adjusting for maternal demographic, medical, and obstetric characteristics. We also examined severe maternal morbidity prevalence by cause of fetal death among stillbirth deliveries.

resultsThe prevalence of severe maternal morbidity for stillbirth and live birth was 578 and 99 cases per 10,000 deliveries, respectively. After adjusting for maternal demographic, medical, and obstetric characteristics, the risk of severe maternal morbidity among stillbirth deliveries was more than fourfold higher (adjusted RR 4.77; 95% CI 4.53-5.02) compared with live birth deliveries. The severe maternal morbidity prevalence was highest among stillbirths caused by hypertensive disorders and placental conditions (24 and 19 cases/100 deliveries, respectively), and lowest among stillbirths caused by fetal malformations or genetic abnormalities (1 case per 100 deliveries).

conclusionWomen who have stillbirths are at substantially higher risk for severe maternal morbidity than women who have live births, regardless of cause of fetal death. The prevalence of severe maternal morbidity varies by cause of fetal death.

Indexed as

AdultCaliforniaCongenital AbnormalitiesCross-Sectional StudiesFemaleFetal DeathHumansHypertensionLive BirthMaternal HealthPlacenta DiseasesPregnancyPregnancy ComplicationsRisk FactorsStillbirth

Identifiers

PMID31306335
PMCPMC6921936
OpenAlexW2957210062

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.