Key result
Between 1992 and 2006, the risk-adjusted rate of any major maternal complication declined from 14.7% to 10.7% for all deliveries, despite an increase in average maternal comorbidities.
Why the study?
What are the 15-year trends in risk-adjusted maternal complications following childbirth in the US?
Population
Over 6 million women undergoing cesarean delivery and vaginal delivery from Florida and New York hospital…
Comparison
Childbirth (cesarean or vaginal delivery) vs Temporal comparison (1992 vs 2006)
Design
Cohort
Follow-up
Hospital discharge
Authors
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May reflect obstetric care advances; leaves open causal factors and generalizability in this observational trend.
Observational (n=6,000,000)
Yes
What are the 15-year trends in risk-adjusted maternal complications following childbirth in the US?
Absolute Event Rate: 10.7% vs 14.7%
Major maternal complications following childbirth in the US significantly decreased from 1992 to 2006 despite an increase in maternal comorbidities.
Srinivas et al. (2010) conducted an observational in Childbirth (n=6,000,000). Delivery in 2006 vs. Delivery in 1992 was evaluated on Composite measure of major maternal complications including infection, hemorrhage, laceration, and other major operative and thrombotic complications. Between 1992 and 2006, the risk-adjusted rate of any major maternal complication declined from 14.7% to 10.7% for all deliveries, despite an increase in average maternal comorbidities.
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