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Chronic Conditions in Women Hospitalized for Delivery

Obstet Gynecol; ePub 2017 Nov 3; Admon, et al

The prevalence of chronic conditions among women hospitalized for obstetric delivery in the US between 2005-2006 and 2013-2014 increased across all segments of this population, with widening disparities among women from rural and low-income communities, a recent study found. The retrospective, serial cross-sectional analysis was conducted using 2005-2015 data from the National Inpatient Sample. The prevalence of 8 common, chronic conditions, each associated with obstetric morbidity and mortality, among all childbearing women and then across socioeconomic predictors of obstetric outcomes were estimated. Researchers found:

  • 8,193,707 delivery hospitalizations, representing 39,273,417 delivery hospitalizations occurring nationally between 2005 and 2014, were identified.
  • At least 1 chronic condition increased significantly between 2005-2006 and 2013-2014.
  • The prevalence of multiple chronic conditions also increased during the study period (4.7 to 8.1 per 1,000 delivery hospitalizations).
  • Chronic respiratory disease, chronic hypertension, substance abuse disorders, and pre-existing diabetes were all disorders with the greatest increases in prevalence over time.
  • Increasing disparities over time were identified over all socioeconomic subgroups, including rural vs urban residence, income, and payer.

Citation:

Admon LK, Winkelman TNA, Moniz MH, Davis MM, Heisler M, Dalton VK. Disparities in chronic conditions among women hospitalized for delivery in the United States, 2005-2014. [Published online ahead of print November 3, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000002357.

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