scholarly journals Evaluating the effect of maternal health conditions on severe maternal morbidity adjusting for emergent cesarean delivery: A mediation analysis approach

2016 ◽  
Vol 2 (2) ◽  
Author(s):  
Moshe Fridman ◽  
Naomi H. Greene ◽  
Lisa M. Korst ◽  
Elizabeth Lawton ◽  
Samia El Haj Ibrahim ◽  
...  
Keyword(s):  
Maternal Health ◽  
Cesarean Delivery ◽  
Mediation Analysis ◽  
Maternal Morbidity ◽  
Health Conditions ◽  
Severe Maternal Morbidity ◽  
Analysis Approach

scholarly journals Risk of severe maternal morbidity associated with cesarean delivery and the role of maternal age: a population-based propensity score analysis

2019 ◽  
Vol 191 (13) ◽  
pp. E352-E360 ◽  
Author(s):  
Diane Korb ◽  
François Goffinet ◽  
Aurélien Seco ◽  
Sylvie Chevret ◽  
Catherine Deneux-Tharaux ◽  
...  
Keyword(s):  
Propensity Score ◽  
Cesarean Delivery ◽  
Maternal Age ◽  
Maternal Morbidity ◽  
Propensity Score Analysis ◽  
Population Based ◽  
Severe Maternal Morbidity ◽  
Score Analysis

scholarly journals Hypertensive Disorders of Pregnancy, Cesarean Delivery, and Severe Maternal Morbidity in an Urban Safety-Net Population

2020 ◽  
Vol 189 (12) ◽  
pp. 1502-1511
Author(s):  
Sheree L Boulet ◽  
Marissa Platner ◽  
Naima T Joseph ◽  
Alexa Campbell ◽  
Rachel Williams ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Maternal Morbidity ◽  
Linear Models ◽  
Safety Net ◽  
Severe Maternal Morbidity ◽  
Hypertensive Disorders Of Pregnancy ◽  
Adjusted Risk ◽  
Relative Risks ◽  
Hypertensive Disorders ◽  
Urban Safety

Abstract Hypertensive disorders of pregnancy (HDP) are a leading cause of severe maternal morbidity (SMM), yet mediation by cesarean delivery is largely unexplored. We investigated the association between HDP and SMM in a cohort of deliveries at a safety-net institution in Atlanta, Georgia, during 2016–2018. Using multivariable generalized linear models, we estimated adjusted risk differences, adjusted risk ratios, and 95% confidence intervals for the association between HDP and SMM. We examined interactions with cesarean delivery and used mediation analysis with 4-way decomposition to estimate excess relative risks. Among 3,723 deliveries, the SMM rate for women with and without HDP was 124.4 per 1,000 and 52.0 per 1,000, respectively. The adjusted risk ratio for the total effect of HDP on SMM was 2.55 (95% confidence interval (CI): 2.15, 3.39). Approximately 55.2% (95% CI: 25.7, 68.5) of excess relative risk was due to neither interaction nor mediation, 24.9% (95% CI: 15.4, 50.0) was due to interaction between HDP and cesarean delivery, 9.6% (95% CI: 3.4, 15.2) was due to mediation, and 10.3% (95% CI: 5.4, 20.3) was due to mediation and interaction. HDP are a potentially modifiable risk factor for SMM; implementing evidence-based interventions for the prevention and treatment of HDP is critical for reducing SMM risk.

Lower gestational age is associated with severe maternal morbidity of preterm cesarean delivery

2020 ◽  
Vol 49 (7) ◽  
pp. 101764
Author(s):  
Delphine Sirgant ◽  
Noémie Rességuier ◽  
Claude d’Ercole ◽  
Pascal Auquier ◽  
Barthélémy Tosello ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Gestational Age ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity

Decreasing Failure-to-Rescue From Severe Maternal Morbidity at Cesarean Delivery

JAMA Surgery ◽  
2021 ◽  
Author(s):  
Koji Matsuo ◽  
Rachel S. Mandelbaum ◽  
Shinya Matsuzaki ◽  
Rauvynne N. Sangara ◽  
Richard H. Lee ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Maternal Morbidity ◽  
Severe Maternal Morbidity ◽  
Failure To Rescue
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