Patients with high-risk pregnancies and complicated deliveries have an increased risk of maternal postpartum readmissions
- 7 May 2014
- journal article
- Published by Springer Science and Business Media LLC in Archiv für Gynäkologie
- Vol. 290 (4), 629-633
- https://doi.org/10.1007/s00404-014-3255-z
Abstract
Postpartum readmission after initial hospitalization for delivery can be diminished if better understood. The aim of this study was to determine the risk factors and indications for maternal re-hospitalization after delivery, in order to identify preventable factors. This was a case control study based on retrospective cohort of patients who delivered at our institution. The patients that were readmitted within 2 weeks of their delivery were included in the study group while the control group was conducted from patients who delivered at the same time but were not re-hospitalized and included twice the number of patients. Demographic characteristics as well as pregnancy, labour and postpartum courses were compared between the two groups. A total of 227 women were re-hospitalized within 14 days after initial discharge. The control group consisted of 450 women. The demographic characteristics were similar among the two groups, so were the rates of obesity, gestational weight gain and smoking. The major indication for readmission was postpartum infections, most of which were not related to immediate postpartum febrile morbidity. Emergency cesarean section was found to be an independent risk factor for readmission. The rate of patients with high-risk pregnancies and complicated deliveries is higher among postpartum maternal readmissions. These data might suggest more cautious postpartum care for those patients.Keywords
This publication has 16 references indexed in Scilit:
- Delivery mode and maternal rehospitalizationArchiv für Gynäkologie, 2007
- Outcome of pregnancy in a woman with an increased body mass indexBJOG: An International Journal of Obstetrics and Gynaecology, 2005
- Risk of Maternal Postpartum Readmission Associated With Mode of DeliveryObstetrics & Gynecology, 2005
- Prenatal risk factors for Caesarean section. Analyses of the ALSPAC cohort of 12 944 women in EnglandInternational Journal of Epidemiology, 2005
- Maternal rehospitalization after singleton term vaginal deliveryThe Journal of Maternal-Fetal & Neonatal Medicine, 2003
- High-Risk Pregnancy: Postpartum RehospitalizationJournal of Perinatology, 2002
- Epidemiology of and Surveillance for Postpartum InfectionsEmerging Infectious Diseases, 2001
- Serious maternal morbidity after childbirth: prolonged hospital stays and readmissionsObstetrics & Gynecology, 1999
- Hospital readmission for postpartum endometritisThe Journal of Maternal-Fetal Medicine, 1998
- Cesarean Section and Intraoperative Surgical ComplicationsActa Obstetricia et Gynecologica Scandinavica, 1984