Overview of maternal morbidity during hospitalization for labor and delivery in the United States: 1993-1997 and 2001-2005.
OBJECTIVE
To assess progress toward meeting the U.S. Healthy People 2010 objective of reducing the rate of maternal morbidity at delivery hospitalization by comparing National Hospital Discharge Survey data from two time periods.


METHODS
Using data from the National Hospital Discharge Survey, we estimated rates of intrapartum morbidity defined by obstetric complications, preexisting medical conditions, and cesarean delivery during 2001-2005 and compared them with rates published for 1993-1997. We calculated and compared the rates for categories of morbidity as well as rates for the summary groups of morbidity.


RESULTS
Between the two time periods, the rate of obstetric complications remained unchanged at 28.6%; the prevalence of preexisting medical conditions at delivery increased from 4.1% to 4.9%. Rates of chronic hypertension and preeclampsia, gestational and preexisting diabetes, asthma, and postpartum hemorrhage increased, whereas rates of third- and fourth-degree lacerations and various types of infection decreased. The cesarean delivery rate increased from 21.8% to 28.3%.


CONCLUSIONS
Between 1993-1997 and 2001-2005, the rate of intrapartum morbidity associated with obstetric complications was unchanged and the rate of pregnancies complicated by preexisting medical conditions increased.
Berg
Cynthia J
CJ
From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion; and Office of Analysis and Epidemiology, National Center for Health Statistics, Centers for Disease Control and Prevention, Atlanta, Georgia.
MacKay
Andrea P
AP
Qin
Cheng
C
Callaghan
William M
WM
D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data; D016208:Databases, Factual; D005260:Female; D006304:Health Status; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D009017:Morbidity; D007744:Obstetric Labor Complications / Q000453:epidemiology*; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology