Even after Discharge, Maternal Morbidity Risks RemainData collected through AHRQ’s 2019-2021 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) show 87.1 severe maternal morbidity (SMM) events during admission for every 10,000 deliveries. A further review of post-discharge data, published in the American Journal of Perinatology, has found that continuing to track readmission data for 42 days after leaving the hospital increased the rate of SMM events by 32 percent to 115.0 per every 10,000 deliveries. Coagulopathy, acute renal failure, and sepsis were the most common SMM events overall, with coagulopathy being the most common SMM event during delivery hospitalizations and sepsis the most common SMM event triggering readmissions in the early postpartum period. Existing SMM measures capture SMM events only during delivery, but the significant number of post-discharge events found here suggests a need for measurement of SMM during the postpartum period. |
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