New tool compares rates of severe pregnancy complications across US hospitals

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NIH-funded researchers have developed a brand new system for classifying severe maternal morbidity—life-threatening complications related to childbirth—across U.S. hospitals. The system depends on affected person discharge knowledge to check rates of severe maternal morbidity between completely different hospitals and completely different teams of sufferers. The research was led by Stephanie A. Leonard, Ph.D., of the Stanford University School of Medicine and seems within the journal Obstetrics & Gynecology. Funding was offered partially by NIH’s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and National Institute of Nursing Research.

In the United States, rates of severe maternal morbidity are rising for all girls and are worse amongst racial and ethnic minorities. Researchers finding out severe maternal morbidity lack dependable methods to check rates between teams with completely different underlying well being statuses. According to the research authors, the brand new scoring system affords a bonus over present approaches. It additionally depends on U.S. affected person discharge knowledge, which is extra available than .

The research group developed and validated their tool utilizing affected person discharge knowledge for all 919,546 in licensed hospitals in California from 2016 to 2017. The new system additionally evaluates a lady’s threat for severe beginning complications impartial of her threat from blood transfusions alone, which are usually much less severe than different complications. These two classes match how the Centers for Disease Control and Prevention and different public well being professionals monitor maternal morbidity. With the brand new tool, scores vary from 1 to 59 for severe maternal morbidity and 1 to 36 for non-transfusion severe maternal morbidity. The research group hopes that the brand new system will help maternal well being analysis and efforts to enhance maternal well being across the nation.


Life-threatening birth complication rate increasing across US racial, ethnic groups


More info:
Leonard, SA, et al. An expanded obstetric comorbidity scoring system for predicting severe maternal morbidity. Obstetrics & Gynecology DOI: 10.1097/AOG.0000000000004022

Provided by
NIH/Eunice Kennedy Shriver National Institute of Child Health and Human Development

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New tool compares rates of severe pregnancy complications across US hospitals (2020, August 6)
retrieved 6 August 2020
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