American Journal of Obstetrics & Gynecology
Volume 202, Issue 1 , Pages 35.e1-35.e7 , January 2010

Hospital readmission after delivery: evidence for an increased incidence of nonurogenital infection in the immediate postpartum period

  • Michael A. Belfort, MD, PhD

      Affiliations

    • Hospital Corporation of America, Nashville, TN
    • Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT
    • Department of Maternal-Fetal Medicine, St. Mark's Hospital, Salt Lake City, UT
    • ,
  • Steven L. Clark, MD

      Affiliations

    • Hospital Corporation of America, Nashville, TN
    • Department of Maternal-Fetal Medicine, St. Mark's Hospital, Salt Lake City, UT
    • ,
  • George R. Saade, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX
    • ,
  • Kacie Kleja, MS

      Affiliations

    • Hospital Corporation of America, Nashville, TN
    • ,
  • Gary A. Dildy III, MD

      Affiliations

    • Hospital Corporation of America, Nashville, TN
    • Department of Maternal-Fetal Medicine, St. Mark's Hospital, Salt Lake City, UT
    • ,
  • Teelkien R. Van Veen, BS

      Affiliations

    • Department of Obstetrics and Gynecology, University Medical Center, Groningen, The Netherlands
    • ,
  • Efe Akhigbe, MD

      Affiliations

    • Hospital Corporation of America, Nashville, TN
    • ,
  • Donna R. Frye, RN, MN

      Affiliations

    • Hospital Corporation of America, Nashville, TN
    • ,
  • Janet A. Meyers, RN, MBA

      Affiliations

    • Hospital Corporation of America, Nashville, TN
    • ,
  • Shalece Kofford, RN, MPH

      Affiliations

    • Department of Maternal-Fetal Medicine, St. Mark's Hospital, Salt Lake City, UT

Received 1 May 2009 ,Revised 13 July 2009 ,Accepted 19 August 2009.

  • Image Result

    Daily cumulative admissions for pneumonia

    Note the 3 different slopes (straight red lines) and the increased slope of the curve(s) during the first 6 weeks after delivery, compared with the total 180-d

    Daily cumulative admissions for pneumonia

    Note the 3 different slopes (straight red lines) and the increased slope of the curve(s) during the first 6 weeks after delivery, compared with the total 180-day period.

    N, number of data points used in the analysis; P, probability value; R, linear regression correlation coefficient; Y, the linear regression equation with the gradient of the curve and the intercept.

    Belfort. Hospital readmission after delivery. Am J Obstet Gynecol 2010.

  • Image Result
    Daily cumulative admissions for cholecystitisNote the 2 different slopes (straight red lines) and the increased slope of the curve during the first 6 weeks after delivery, compared with the total 180-

    Daily cumulative admissions for cholecystitis

    Note the 2 different slopes (straight red lines) and the increased slope of the curve during the first 6 weeks after delivery, compared with the total 180-day period.

    N, number of data points used in the analysis; P, probability value; R, linear regression correlation coefficient; Y, the linear regression equation with the gradient of the curve and the intercept.

    Belfort. Hospital readmission after delivery. Am J Obstet Gynecol 2010.

  • Image Result
    Daily cumulative admissions for appendicitisNote the 2 different slopes (straight red lines) and the increased slope of the curve during the first 6 weeks after delivery, compared with the total 180-d

    Daily cumulative admissions for appendicitis

    Note the 2 different slopes (straight red lines) and the increased slope of the curve during the first 6 weeks after delivery, compared with the total 180-day period.

    N, number of data points used in the analysis; P, probability value; R, linear regression correlation coefficient; Y, the linear regression equation with the gradient of the curve and the intercept.

    Belfort. Hospital readmission after delivery. Am J Obstet Gynecol 2010.

  • Image Result
    Admissions for pneumoniaNote the significantly different curves for cesarean section and vaginal delivery that show earlier admissions in the first 6 months after delivery in women who had a cesarean

    Admissions for pneumonia

    Note the significantly different curves for cesarean section and vaginal delivery that show earlier admissions in the first 6 months after delivery in women who had a cesarean section delivery. Note also that the cumulative percentage of admissions in the nonpregnant group did not change over time. The Gehan-Breslow statistic was used to compare the curves (P < .005).

    Belfort. Hospital readmission after delivery. Am J Obstet Gynecol 2010.

 Reprints not available from the authors.

 Authorship and contribution to the article is limited to the 10 authors indicated. There was no outside funding or technical assistance with the production of this article.

 Cite this article as: Belfort MA, Clark SL, Saade GR, et al. Hospital readmission after delivery: evidence for an increased incidence of nonurogenital infection in the immediate postpartum period. Am J Obstet Gynecol 2010;202:35.e1-7.

PII: S0002-9378(09)00955-7

doi: 10.1016/j.ajog.2009.08.029

American Journal of Obstetrics & Gynecology
Volume 202, Issue 1 , Pages 35.e1-35.e7 , January 2010

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