The impact of postpartum hemorrhage on hospital length of stay and inpatient mortality: a National Inpatient Sample-based analysis

American Journal of Obstetrics and Gynecology
Ariela L MarshallRajiv K Pruthi

Abstract

Postpartum hemorrhage is a major cause of maternal morbidity and mortality, but the association between postpartum hemorrhage and hospital length of stay has not been rigorously investigated. We explored the impact of postpartum hemorrhage on hospital length of stay and inpatient mortality, as these outcomes have both clinical and economic significance. We performed a retrospective analysis using data from the National Inpatient Sample database during the 2012 through 2013 time period. Deliveries were classified as postpartum hemorrhage due to uterine atony, nonatonic postpartum hemorrhage, or not complicated by postpartum hemorrhage (nonpostpartum hemorrhage). Average length of stay and inpatient mortality rates were compared between groups. Over the study interval, postpartum hemorrhage occurred in 3% of deliveries. Among deliveries complicated by postpartum hemorrhage, 76.6% were attributed to uterine atony and 23.4% were nonatonic. Women with nonatonic postpartum hemorrhage had the highest average length of stay (3.67 days) followed by atonic postpartum hemorrhage (2.98 days) and nonpostpartum hemorrhage (2.63 days); P < .001, all comparisons. Inpatient mortality rate of nonatonic postpartum hemorrhage over the entire study...Continue Reading

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Citations

Jan 22, 2019·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Hyun Jung LeeYoung Ran Kim
Mar 29, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Arielle FeinAlexander M Friedman
Dec 7, 2019·Journal of Thrombosis and Haemostasis : JTH·Sarah H O'BrienSara K Vesely
Jan 15, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ali AlhousseiniOffer Erez
Apr 23, 2020·Transfusion·Alexander ButwickLawrence Goodnough
Dec 21, 2019·Journal of Thrombosis and Thrombolysis·Najeebah A BadeHoma K Ahmadzia
Oct 1, 2020·Haemophilia : the Official Journal of the World Federation of Hemophilia·Marieke C PuntKarin P M van Galen
Apr 16, 2020·BMC Pregnancy and Childbirth·Pradeep Kumar, Preeti Dhillon
Jan 9, 2021·Obstetrics and Gynecology·Holly B EndeJeanette R Bauchat
Aug 10, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·I Durand-ZaleskiUNKNOWN for TRAAP study group
Jan 26, 2021·American Journal of Obstetrics & Gynecology MFM·Cassandra B IrozEmily S Miller
Mar 25, 2021·Anesthesiology·Alexander J ButwickOlof Stephansson
Jun 22, 2019·American Journal of Obstetrics and Gynecology·Leanna S SudhofBrett D Einerson
Jun 12, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·María Fernanda EscobarSergio Prada
Aug 19, 2021·Journal of the American Medical Informatics Association : JAMIA·Amanda B ZheutlinLi Li
May 27, 2020·American Journal of Perinatology·Halley RuppelGabriel J Escobar
Sep 25, 2021·Journal of the American Medical Informatics Association : JAMIA·Amanda B ZheutlinLi Li

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