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Hospitalization for pregnancy complications, United States, 1986 and 1987

  • Author Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Adele L. Franks
    Correspondence
    Reprint requests: Adele Franks, MD, Mailstop K30, OSA/ NCCDPHPICDC, Atlanta, GA 30333.
    Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Affiliations
    Atlanta, Georgia
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  • Author Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Juliette S. Kendrick
    Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Affiliations
    Atlanta, Georgia
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  • Author Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    David R. Olson
    Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Affiliations
    Atlanta, Georgia
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  • Author Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Hani K. Atrash
    Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Affiliations
    Atlanta, Georgia
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  • Author Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Audrey F. Saftlas
    Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Affiliations
    Atlanta, Georgia
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  • Author Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Mary Moien
    Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
    Affiliations
    Atlanta, Georgia
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  • Author Footnotes
    1 From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, and the Division of Health Care Statistics, National Center for Health Statistics, Centers for Disease Control.
      This paper is only available as a PDF. To read, Please Download here.
      Objective: The purpose of our analysis was to provide a national overview of the magnitude of the public health burden associated with inpatient care for pregnancy complications.
      Study Design: We analyzed data from the National Hospital Discharge Survey for 1986 and 1987. We calculated ratios of hospitalizations for pregnancy complications for every 100 hospitalizations involving a birth. Standard errors for these ratios were calculated with RATIOEST, and relative ratios with 95% confidence intervals were calculated for subgroups of interest.
      Results: We found that for every 100 hospitalizations involving a birth, there were 22.2 nondelivery hospitalizations for pregnancy complications (14.6 antenatal complications, 7.6 pregnancy loss complications). These ratios were higher for black than for white women (relative ratio 1.4, 95% confidence interval 1.2 to 1.6). The effects of marital status, age, and insurance coverage differed between black and white women, and mean length of stay was longer for black than for white women.
      Conclusion: Hospitalization for pregnancy complications is far more common than is widely appreciated and is more frequent among black than white women.

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