Associations between ethnicity and admission to intensive care among women giving birth: a cohort study.
ethnicity
obstetric haemorrhage
severe maternal morbidity
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
accepted:
26
05
2021
pubmed:
22
9
2021
medline:
5
4
2022
entrez:
21
9
2021
Statut:
ppublish
Résumé
To determine the association between ethnic group and likelihood of admission to intensive care in pregnancy and the postnatal period. Cohort study. Maternity and intensive care units in England and Wales. A total of 631 851 women who had a record of a registerable birth between 1 April 2015 and 31 March 2016 in a database used for national audit. Logistic regression analyses of linked maternity and intensive care records, with multiple imputation to account for missing data. Admission to intensive care in pregnancy or postnatal period to 6 weeks after birth. In all, 2.24 per 1000 maternities were associated with intensive care admission. Black women were more than twice as likely as women from other ethnic groups to be admitted (odds ratio [OR] 2.21, 95% CI 1.82-2.68). This association was only partially explained by demographic, lifestyle, pregnancy and birth factors (adjusted OR 1.69, 95% CI 1.37-2.09). A higher proportion of intensive care admissions in Black women were for obstetric haemorrhage than in women from other ethnic groups. Black women have an increased risk of intensive care admission that cannot be explained by demographic, health, lifestyle, pregnancy and birth factors. Clinical and policy intervention should focus on the early identification and management of severe illness, particularly obstetric haemorrhage, in Black women, in order to reduce inequalities in intensive care admission. Black women are almost twice as likely as White women to be admitted to intensive care during pregnancy and the postpartum period; this risk remains after accounting for demographic, health, lifestyle, pregnancy and birth factors.
Identifiants
pubmed: 34545995
doi: 10.1111/1471-0528.16891
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
733-742Subventions
Organisme : Healthcare Quality Improvement Partnership
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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