ArticleObstetrics and gynecology2020
Postpartum Readmissions Among Women With Diabetes.
Article in Obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 26 citations in OpenAlex.
- Postpartum Hospital Readmissions Among Women With Gestational Diabetes and Pregestational Diabetes in the United States, 2016 to 2022.Women's health issues : official publication of the Jacobs Institute of Women's Health · 2026Article
- Prediction model for intrapartum cesarean delivery among women with gestational diabetes mellitus.Archives of gynecology and obstetrics · 2025Article
- Development and Internal Validation of Machine Learning Algorithms to Predict 30-Day Readmission in Patients Undergoing a C-Section: A Nation-Wide Analysis.Journal of personalized medicine · 2025Article
- Association of Chronic Diabetes with 42-Day Readmission after Delivery Hospitalization.Maternal and child health journal · 2025Article
- A Systematic Review of Recent Studies on Hospital Readmissions of Patients With Diabetes.Cureus · 2024Review
- Risk factors for postpartum readmission: a prediction model in Iranian pregnant women.BMC pregnancy and childbirth · 2024Article
- Diabetes status and postoperative complications for patients receiving open rotator cuff repair.Shoulder & elbow · 2023Article
- Association Between Mental Health Conditions at the Hospitalization for Birth and Postpartum Hospital Readmission.Journal of women's health (2002) · 2023Article
- What we talk about when we talk about severe maternal morbidity: a call to action to critically review severe maternal morbidity as an outcome measure.American journal of obstetrics & gynecology MFM · 2023Article
- Postpartum Hospital Readmissions With and Without Severe Maternal Morbidity Within 1 Year of Birth, Oregon, 2012-2017.American journal of epidemiology · 2023Article
- Examining changes in clinical management and postpartum readmissions for hypertensive disorders of pregnancy over time.Pregnancy hypertension · 2022Article
- Risk of Adverse Pregnancy Outcomes Among Pregnant Individuals With Gestational Diabetes by Race and Ethnicity in the United States, 2014-2020.JAMA · 2022 · on this mapArticle
- Maternal near miss and potentially life-threatening condition determinants in patients with type 1 diabetes mellitus at a university hospital in São Paulo, Brazil: a retrospective study.BMC pregnancy and childbirth · 2020Article
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Authors and funding
6 authors at 1 institution in 2 countries.
Funding
Abstract
objectiveTo estimate whether women with diabetes are at risk for 60-day postpartum readmissions and associated complications.
methodsThe Nationwide Readmissions Database from 2010 to 2014 was analyzed to determine risk for 60-day postpartum readmissions among women with type 1 diabetes mellitus (DM), type 2 DM, gestational diabetes mellitus (GDM), and unspecified DM compared with women with no diabetes. Secondary outcomes included evaluating risk for overall severe maternal morbidity during readmissions, as well as wound complications, acute diabetic complications such as diabetic ketoacidosis, venous thromboembolism, and hypertensive diseases of pregnancy. Billing data were used to ascertain both exposures and outcomes. Adjusted log-linear regression models including demographic, hospital, medical and obstetric, and hospital factors were performed with adjusted risk ratios (aRRs) and with 95% Cis as measures of association.
resultsOf an estimated 15.7 million delivery hospitalizations, 1.1 million occurred among women with diabetes, of whom 3.2% had type 1 DM, 9.1% type 2 DM, 86.6% GDM, and 1.1% unspecified diabetes. Compared with women without diabetes (1.5% risk for readmission), risk for readmission was significantly higher for women with type 1 DM (4.4%), unspecified diabetes (4.0%), type 2 DM (3.9%), and GDM (2.0%) (P<.01). After adjusting for hospital, demographic, medical, and obstetric risk factors, type 1 DM (aRR 1.77, 95% CI 1.69-1.87), type 2 DM (aRR 1.46, 95% CI 1.42-1.51), unspecified (aRR 1.73, 95% CI 1.59-1.89) and gestational diabetes (aRR 1.16, 95% CI 1.14-1.17) retained increased risk. Among women with diabetes public insurance, lower ZIP code income quartiles, and hospitals with high safety net burdens were associated with higher risk for readmission. In both unadjusted and adjusted analyses, all diabetes diagnoses were associated with readmissions for wound complications, hypertensive diseases of pregnancy, and severe maternal morbidity.
conclusionAlthough overall risk for readmission is low, pregnancies complicated by pregestational diabetes in particular are at increased risk. Women in this high-risk group should receive coordinated care and be monitored closely in the postpartum period.
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