Perinatal morbidity and health utilization among mothers of medically fragile infants.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
03
03
2021
accepted:
14
07
2021
revised:
29
06
2021
pubmed:
12
8
2021
medline:
30
4
2022
entrez:
11
8
2021
Statut:
ppublish
Résumé
To determine the burden of perinatal morbidity among mothers of medically fragile infants. We conducted a retrospective cohort study of 6849 mothers who delivered liveborn infants at a quaternary care hospital during a two-year period. We compared mothers of well babies with mothers of infants admitted to the Neonatal Intensive Care Unit (NICU), and we used logistic regression to model predictors of postpartum acute care utilization among NICU mothers. Rates of obstetric morbidity were highest for mothers of infants staying ≥72 h in the NICU; 54.2% underwent cesarean birth, 7.5% experienced severe maternal morbidity, and 6.6% required a blood transfusion. Factors independently associated with postpartum acute care use included gestational age <28 weeks, ever smoking, non-Hispanic Black race, temperature >38 °C and receiving psychiatric medication during the birth hospitalization. Focused support for mothers of NICU infants has the potential to reduce maternal morbidity and improve health.
Identifiants
pubmed: 34376790
doi: 10.1038/s41372-021-01171-x
pii: 10.1038/s41372-021-01171-x
pmc: PMC8858647
mid: NIHMS1746656
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
169-176Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR002489
Pays : United States
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.
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