Evidence map›Paper›PMID 32365389›Full record

ArticleAmerican journal of perinatology2021

Maternal Health after Stillbirth: Postpartum Hospital Readmission in California.

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

Abstract read
In one paragraph

Article in American journal of perinatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Association between stillbirth and severe maternal morbidity.American journal of obstetrics and gynecology · 2024
    Article
  3. Call for Improved Fourth Trimester Care After Stillbirth.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2024
    Article
  4. Article
  5. 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.

Elizabeth Wall-WielerDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Alexander J ButwickDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Ronald S GibbsDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0002-6130-2702
Deirdre J LyellDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.
Anna I GirsenDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.
Yasser Y El-SayedDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.
Suzan L CarmichaelDepartment of Pediatrics and Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.

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

objectiveThe aim of this study is to assess whether the risk of postpartum readmission within 6 weeks of giving birth differs for women who had stillbirths compared with live births. STUDY

designUsing data from the Office of Statewide Health Planning and Development in California, we performed a population-based cohort study of 7,398,640 births between 1999 and 2011. We identified diagnoses and procedures associated with the first postpartum hospital readmission that occurred within 6 weeks after giving birth. We used log-binomial models to estimate relative risk (RR) of postpartum readmission for women who had stillbirth compared with live birth deliveries, adjusting for maternal demographic, prepregnancy, pregnancy, and delivery characteristics.

resultsThe rate of postpartum readmission was higher among women who had stillbirths compared with women who had live births (206 and 96 per 10,000 births, respectively). After adjusting for maternal demographic and medical characteristics, the risk of postpartum readmission for women who had stillbirths was nearly 1.5 times greater (adjusted RR = 1.47, 95% confidence interval: 1.35-1.60) compared with live births. Among women with stillbirths, the most common indications at readmission were uterine infection or pelvic inflammatory disease, psychiatric conditions, hypertensive disorder, and urinary tract infection.

conclusionBased on our findings, women who have stillbirths are at higher risk of postpartum readmissions within 6 weeks of giving birth than women who have live births. Women who have stillbirths may benefit from additional monitoring and counseling after hospital discharge for potential postpartum medical and psychiatric complications. KEY POINTS: · Women who have stillbirths are at nearly 1.5 times greater risk of postpartum readmission than women who have live births.. · Uterine infections and pelvic inflammatory disease, and psychiatric conditions are the most common reasons for readmission among women who had a stillbirth.. · Women who have stillbirths may benefit from additional monitoring and counseling after hospital discharge for potential postpartum medical and psychiatric complications..

Indexed as

AdultCaliforniaCohort StudiesFemaleHumansMaternal HealthPatient ReadmissionPostpartum PeriodPregnancyRegression AnalysisRisk FactorsStillbirthYoung Adult

Identifiers

PMID32365389
PMCPMC7609589

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Registered trials

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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.