ArticleAJOG global reports2022
Early postpartum readmissions: identifying risk factors at birth hospitalization.
Article in AJOG global reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Effect of increased oxytocin doses on the mode of delivery in obese primiparous women with spontaneous or induced labour. A double-blind, randomised, controlled trial (PROXYMA).BMC pregnancy and childbirth · 2026Trial
- Risk Factors Associated with Maternal Postpartum Hospital Readmission: A Systematic Review.Nursing reports (Pavia, Italy) · 2026Review
- Postpartum readmission for hypertension: Validating a predictive model with incorporation of neighborhood-level social determinants of health.Pregnancy (Hoboken, N.J.) · 2026Article
- Article
- Assessing Postpartum Readmission Rates and Associated Risk Factors Using the Robson Classification: A Single-Center Experience.Journal of clinical medicine · 2026Article
- Assessing the Role of Cardiac Disease in Severe Maternal Morbidity: A Population-Based Cohort Study.O&G open · 2026Article
- 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
- Maternal postpartum blood pressure screening at newborn visits and its impact on postpartum care utilization.Pregnancy (Hoboken, N.J.) · 2025Article
- Hypertensive Disorders of Pregnancy: Reaching the Rural Population After Delivery.Current hypertension reports · 2025Review
- Women's use of Swedish health care during the postpartum period in relation to maternal country of birth-A population-based study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Risk factors for postpartum readmission: a prediction model in Iranian pregnant women.BMC pregnancy and childbirth · 2024Article
- Severe maternal morbidity from pregnancy through 1 year postpartum.American journal of obstetrics & gynecology MFM · 2024Article
- Trends in racial/ethnic disparities in postpartum hospital readmissions in California from 1997 to 2018.AJOG global reports · 2024Article
- Association Between Mental Health Conditions at the Hospitalization for Birth and Postpartum Hospital Readmission.Journal of women's health (2002) · 2023Article
- Mental health and substance use disorders at delivery hospitalization and readmissions after delivery discharge.Drug and alcohol dependence · 2023Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe high maternal mortality and severe morbidity rates in the United States compared with other high-income countries have received national attention. Characterization of postpartum hospital readmissions within the first days after delivery hospitalization discharge could help to identify patients who need additional preparedness for discharge.
objectiveThis study aimed to investigate conditions at birth associated with postpartum readmissions occurring within 0 to 6 days and at 7 to 29 days after discharge from the delivery hospitalization. STUDY
designWe analyzed linked vital statistics and hospital discharge records of patients who gave birth in California during 2007 to 2018. We investigated hospital readmissions within 30 days after birth hospitalization discharge. We used multivariable logistic regression to investigate factors associated with early readmission (0-6 days) and later readmission (7-29 days) compared with no readmission within 30 days (reference). The risk factors assessed included maternal medical or obstetrical conditions before and at birth, birth hospitalization length of stay, and mode of delivery. Severe maternal morbidity was defined as the presence of any of the 21 indicators recommended by the Centers for Disease Control and Prevention.
resultsAmong 5,248,746 pregnant patients, 23,636 (0.45%) had an early postpartum readmission, whereas 24,712 (0.47%) had a later postpartum readmission. After adjustments, early readmission was most strongly associated with sepsis (adjusted odds ratio, 4.63; 95% confidence interval, 3.87-5.53), severe maternal morbidity (adjusted odds ratio, 3.46; 95% confidence interval, 3.28-3.65) at birth hospitalization, or preeclampsia before birth hospitalization (adjusted odds ratio, 3.67; 95% confidence interval, 3.54-3.81). The associations between later readmission and sepsis and severe maternal morbidity were similar, whereas the association between preeclampsia and later readmission was less strong (adjusted odds ratio, 1.65; 95% confidence interval, 1.57-1.73).
conclusionPregnant patients with sepsis or severe maternal morbidity during delivery hospitalization or preeclampsia before birth hospitalization were at the highest risk for readmission within 6 days of discharge. These findings may be informative for efforts to improve postpartum care.
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