Overview of Maternal Morbidity During Hospitalization for Labor and Delivery in the United States 1993-1997 and 2001-2005
Overview of Maternal Morbidity During Hospitalization for Labor and Delivery in the United States 1993-1997 and 2001-2005
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DOI：
10.1097/aog.0b013e3181a09fc0
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发表时间：
2009-05-01
影响因子：
7.2
通讯作者：
Callaghan, William M.
中科院分区：
文献类型：
--
作者：
Berg, Cynthia J.;MacKay, Andrea R.;Callaghan, William M.
目的：通过比较两个时间段的全国医院出院调查数据，评估实现美国健康人群2010年降低分娩住院时孕产妇发病率目标的进展情况。利用全国医院出院调查的数据，我们估计了分娩期发病率，定义为产科并发症，先前存在的医疗条件，和剖宫产率，并与1993-1997年公布的比率进行比较。我们计算并比较了发病率的类别，以及发病率的总结groups of morphosmity.RESULTS：在两个时间段之间，产科并发症的发生率保持不变，为28.6%;分娩时预先存在的医疗条件的患病率从4.1%增加到4.9%。慢性高血压和先兆子痫、妊娠期和既往糖尿病、哮喘和产后出血的发生率增加，而三度和四度撕裂伤和各种感染的发生率下降。结论：1993-1997年和2001-2005年，产科并发症的产时发病率无明显变化，合并有内科疾病的妊娠率有所上升。
OBJECTIVE: To assess progress toward meeting the U.S. Healthy People 2010 objective of reducing the rate of maternal morbidity at delivery hospitalization by comparing National Hospital Discharge Survey data from two time periods.METHODS: Using data from the National Hospital Discharge Survey, we estimated rates of intrapartum morbidity defined by obstetric complications, preexisting medical conditions, and cesarean delivery during 2001-2005 and compared them with rates published for 1993-1997. We calculated and compared the rates for categories of morbidity as well as rates for the summary groups of morbidity.RESULTS: Between the two time periods, the rate of obstetric complications remained unchanged at 28.6%; the prevalence of preexisting medical conditions at delivery increased from 4.1% to 4.9%. Rates of chronic hypertension and preeclampsia, gestational and preexisting diabetes, asthma, and postpartum hemorrhage increased, whereas rates of third- and fourth-degree lacerations and various types of infection decreased. The cesarean delivery rate increased from 21.8% to 28.3%.CONCLUSION: Between 1993-1997 and 2001-2005, the rate of intrapartum morbidity associated with obstetric complications was unchanged and the rate of pregnancies complicated by preexisting medical conditions increased.