Evidence map›Paper›PMID 41588859›Full record

ArticleJournal of women's health (2002)2026

Ranked Severe Maternal Morbidity Index for Population-Level Surveillance by Mode of Delivery.

Lindsay S Womack, Romeo R Galang, Lindsay K Admon, Elizabeth A Clark, Alexander C Ewing, Glen A Satten, Jean Y Ko, Cynthia D Ferre, Charlan D Kroelinger

Abstract read
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In one paragraph

Article in Journal of women's health (2002), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Lindsay S WomackDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Romeo R GalangDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Lindsay K AdmonDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
Elizabeth A ClarkDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Alexander C EwingDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Glen A SattenDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Jean Y KoDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Cynthia D FerreDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Charlan D KroelingerDivision of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveTo determine which severe maternal morbidity indicators identify the most in-hospital mortality during delivery hospitalization by delivery mode. MATERIALS AND

methodsWe obtained data from the 1993-2015 Healthcare Cost and Utilization Project's National Inpatient Sample. Separate analyses were conducted for cesarean and vaginal deliveries. We ranked 22 severe maternal morbidity indicators by their overall population-attributable fraction of in-hospital mortality.

resultsWe identified 87,864,173 delivery hospitalizations; 27.9% were cesarean deliveries and 72.1% were vaginal deliveries. There were 6,686 records with a discharge disposition of "died," with the most occurring for cesarean deliveries (71.2%). Most deaths had a severe maternal morbidity indicator (cesarean deliveries = 94.2%; vaginal deliveries = 73.5%). Among cesarean deliveries, the top five ranked indicators were as follows:

conclusionSevere maternal morbidity indicator rankings for cesarean and vaginal deliveries were similar; however, there were differences by delivery mode in the performance of the SMM indicators in identifying in-hospital deaths. Our findings underscore the need for the improved documentation and measurement of severe obstetric complications during pregnancy and the postpartum period at the population level.

Indexed as

Cesarean SectionDelivery, ObstetricHospital MortalityMaternal MortalityPopulation SurveillancePregnancy ComplicationsAdultFemaleHospitalizationHumansMorbidityPregnancyUnited StatesYoung Adultcesarean deliverymaternal morbiditymaternal mortalitypopulation surveillancevaginal delivery

Identifiers

PMID41588859
PMCPMC12884591

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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.