ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Delivery Complications and Postpartum Hospital Use in California.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Association between obstetric comorbidity index and complications of vaginal delivery: a large cross-sectional study from China.BMC pregnancy and childbirth · 2025Article
- Postpartum Acute Care Utilization in a Health Care System in the Southeastern United States.Journal of women's health (2002) · 2025Article
- Obesity and postpartum hospital use among individuals without additional medical comorbidities.Obesity (Silver Spring, Md.) · 2025Article
- Trends in racial/ethnic disparities in postpartum hospital readmissions in California from 1997 to 2018.AJOG global reports · 2024Article
- Patient Sociodemographics and Comorbidities and Birth Hospital Characteristics Associated With Postpartum Emergency Department Care.JAMA network open · 2023Article
- Antepartum Emergency Department Use and Associations with Maternal and Neonatal Outcomes in a Large Hospital System.Women's health reports (New Rochelle, N.Y.) · 2023Article
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Authors and funding
3 authors.
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Abstract
introductionResearch on maternal birth outcomes rarely includes postpartum complications with longitudinally linked patient data. We analyze characteristics associated with delivery complications and postpartum hospital use.
methodsThis population-based cohort study is based on administrative data from California. International Classification of Diseases, 10th Revision, codes were used to categorize the incidence of severe maternal morbidity and other route-specific delivery complications as well as preexisting and pregnancy-related conditions and principal diagnoses for postpartum hospital visits. Postpartum hospital use is a composite outcome defined as emergency department visit or hospital readmission within 90 days of birth admission discharge. Multivariable modified Poisson regression analyses were used to estimate the association of patient-level and hospital-level characteristics with the likelihood of postpartum hospital use.
resultsIn 2017, 457,498 birth admissions occurred in California-licensed hospitals, of which 348,828 index births with linked data were analyzed. Among linked births, 34,825 (10.0%) had an inpatient admission (4,206 [1.2%]) or an emergency department visit (30,371 [9.2%]) within 90 days of birth admission discharge. Birth complications included a 1.7% severe maternal morbidity rate, 7.9% rate of vaginal birth complications, 10.0% rate of cesarean birth complications, and 2.9% frequency of long lengths of stay, all of which were significantly associated with postpartum hospital use. Other significant risk factors for postpartum hospital use were preexisting and pregnancy-related conditions, undergoing cesarean birth, being younger than 18 years old, being non-Hispanic Black, living in a high poverty ZIP code, and having Medicaid.
conclusionOne in 10 birthing persons had a hospital visit within 90 days postpartum. Improving postpartum care is an urgent public health priority.
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