scholarly journals Risk Factors for Maternal Readmission with Sepsis

2019 ◽  
Vol 37 (05) ◽  
pp. 453-460
Author(s):  
Megan E. Foeller ◽  
Lillian Sie ◽  
Timothy M. Foeller ◽  
Anna I. Girsen ◽  
Suzan L. Carmichael ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Primary Objective ◽  
Birth Certificates ◽  
Gram Negative Bacteria ◽  
Maternal Risk Factors ◽  
Discharge Data ◽  
Maternal Risk ◽  
Acute Organ Dysfunction ◽  
Infecting Organisms

Abstract Objective Our primary objective was to identify risk factors for maternal readmission with sepsis. Our secondary objectives were to (1) assess diagnoses and infecting organisms at readmission and (2) compare early (<6 weeks) and late (6 weeks to 9 months postpartum) maternal readmission with sepsis. Study Design We identified our cohort using linked hospital discharge data and birth certificates for California deliveries from 2008 to 2011. Consistent with the 2016 sepsis classification, we defined sepsis as septicemia plus acute organ dysfunction. We compared women with early or late readmission with sepsis to women without readmission with sepsis. Results Among 1,880,264 women, 494 (0.03%) were readmitted with sepsis, 61% after 6 weeks. Risk factors for readmission with sepsis included preterm birth, hemorrhage, obesity, government-provided insurance, and primary cesarean. For both early and late sepsis readmissions, the most common diagnoses were urinary tract infection and pyelonephritis, and the most frequently identified infecting organism was gram-negative bacteria. Women with early compared with late readmission with sepsis shared similar obstetric characteristics. Conclusion Maternal risk factors for both early and late readmission with sepsis included demographic characteristics, cesarean, hemorrhage, and preterm birth. Risks for sepsis after delivery persist beyond the traditional postpartum period of 6 weeks.

Maternal risk factors for preterm birth: a country-based population analysis

2011 ◽  
Vol 159 (2) ◽  
pp. 342-346 ◽  
Author(s):  
Gian Carlo Di Renzo ◽  
Irene Giardina ◽  
Alessia Rosati ◽  
Graziano Clerici ◽  
Michela Torricelli ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Population Analysis ◽  
Maternal Risk Factors ◽  
Maternal Risk

scholarly journals Maternal Risk Factors for Preterm Birth in Murmansk County, Russia: A Registry-Based Study

2016 ◽  
Vol 30 (5) ◽  
pp. 462-472 ◽  
Author(s):  
Anna A. Usynina ◽  
Vitaly A. Postoev ◽  
Andrej M. Grjibovski ◽  
Alexandra Krettek ◽  
Evert Nieboer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Maternal Risk Factors ◽  
Maternal Risk

Maternal risk factors for preterm birth and low birthweight in Cape Verde

1996 ◽  
Vol 75 (4) ◽  
pp. 360-366 ◽  
Author(s):  
Hans Wessel ◽  
Sven Cnattingius ◽  
Staffan Bergstrom ◽  
Alice Dupret ◽  
Pitt Reitmaier
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Low Birthweight ◽  
Cape Verde ◽  
Maternal Risk Factors ◽  
Maternal Risk

Preventing intellectual disability during pregnancy: what are the potentially high yield targets?

2016 ◽  
Vol 44 (4) ◽  
Author(s):  
Yinding Wang ◽  
Suzanne McDermott ◽  
Joshua R. Mann ◽  
James W. Hardin
Keyword(s):  
Risk Factors ◽  
Bipolar Disorder ◽  
South Carolina ◽  
Intellectual Disability ◽  
Birth Weight ◽  
Population Attributable Risk ◽  
High Yield ◽  
Birth Certificates ◽  
Maternal Risk Factors ◽  
Maternal Risk

AbstractTo identify risk factors among children with unknown cause intellectual disability (ID) and to estimate the population-attributable risk (PAR) associated with these factors.This was a retrospective cohort study of maternal and child pairs born between 2004 and 2010 in South Carolina, and information was obtained from Medicaid billing records, birth certificates, and other administrative data. The data included 123,922 children and logistic generalized estimating equations (GEE) regression models were used to estimate the association of maternal risk factors and ID. We estimated models with and without birth weight as a covariate, since low birth weight is known to be a mediator of the association between some risk factors and ID in children.The prevalence of ID in the children was 3.85% and the associations between risk factors and ID were similar for female and male children. We found that the odds of having ID were increased if a child’s mother had a diagnosis of major depression; for male children, the odds ratio (OR) was 1.34 (95% confidence interval [CI] 1.14–1.59, PAR 2.17%); and for females, the OR was 1.59 (95% CI 1.30–1.95, PAR 4.70%). The odds of having ID were also increased for children of women with bipolar disorder (males – OR 1.95, 95% CI 1.53–2.48, PAR 2.85%; females – OR 1.63, 95% CI 1.20–2.22, PAR 2.05%).Major maternal depression and bipolar disorder were each significantly associated with the odds of ID in children, each accounting for approximately 2–5% of the PAR, when controlling for covariates.

scholarly journals Maternal Factors for Low Birth Weight and Preterm Birth At Tertiary Care Hospital

2015 ◽  
Vol 53 (200) ◽  
pp. 250-255 ◽  
Author(s):  
Neebha Ojha
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Significant Risk ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Medical Disorders ◽  
History Of ◽  
The Mean

Introduction: Low birth weight and preterm birth are the major community health problems in developing countries. They are the major determinants of perinatal survival and infant morbidity and mortality.  The aim of this study was to determine the proportion and the maternal risk factors for low birth weight and preterm birth among hospital deliveries in Tribhuvan University Teaching Hospital. Methods: A cross sectional retrospective study was carried out in the Department of Obstetrics and Gynecology of TUTH. Maternal risk factors like age, parity, ethnicity, history of previous abortion, history of previous cesarean section, antepartum hemorrhage and medical disorders were studied. Information on all births that occurred was extracted from maternity case notes and delivery registers. Results: During the study period, there were 685 singleton live births.  Among these 78(11.4%) were low birth weight and 47(6.9%) were preterm birth. The mean birth weight was 2950 ± 488 gm. The mean weight of female was statistically less compared to male babies (p=0.032). The significant risk factors for LBW were primiparity (OR 2.12; 95%CI 1.25-3.58), Indo-Aryan ethnicity (OR 1.97; 95%CI 1.12-3.45) and history of medical disorder (OR 3.08; 95%CI 1.17-8.12). As for PTB antepartum hemorrhage (OR 8.63; 95%CI 1.99-37.30) and history of medical disorder (OR 3.20; 95%CI 1.04-9.89) were significant risk factors. Conclusions: Parity, ethnicity, and medical disorders were the main risk factors for low birth weight. Antepartum hemorrhage and medical disorders were significant risk factors for preterm birth. Keywords: low birth weight; preterm birth; risk factors.

Health Advantages and Disparities in Preterm Birth Among Immigrants Despite Disparate Sociodemographic, Behavioral, and Maternal Risk Factors in San Diego, California

2019 ◽  
Vol 24 (2) ◽  
pp. 153-164 ◽  
Author(s):  
Maria Rosario G. Araneta ◽  
Rebecca J. Baer ◽  
Louis J. Muglia ◽  
Kelli K. Ryckman ◽  
Julie Ryu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
San Diego ◽  
Maternal Risk Factors ◽  
Maternal Risk
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