Complicating Conditions of Pregnancy and Childbirth

Topics: Childbirth, Obstetrics, Pregnancy Pages: 7 (654 words) Published: December 9, 2013
HEALTHCARE COST AND
UTILIZATION PROJECT

Agency for Healthcare
Research and Quality

STATISTICAL BRIEF #113

From

May 2011

Complicating Conditions of
Pregnancy and Childbirth, 2008

Highlights



Among the 4.2 million deliveries in
2008, 94.1 percent listed some type of
pregnancy complication.



Stays with pregnancy-related
complications tended to be longer (2.9
days for non-delivery stays and 2.7
days for delivery stays) than delivery
stays without complications (1.9 days).



Maternal stays with complications
were about fifty percent more costly
($4,100 for non-delivery stays and
$3,900 for delivery stays) than delivery
stays without complications ($2,600).



Maternal stays with pregnancy and
delivery-related complications
accounted for $17.4 billion, or nearly 5
percent of total hospital costs in the
United States.



Among non-delivery maternal stays,
the following conditions occurred at a
rate of 100 or more for every 1,000
hospital stays: early or threatened
labor, infections of the genitourinary
tract, and hypertension, including
eclampsia and pre-eclampsia.



Among maternal stays with delivery,
the following conditions occurred at a
rate of 50 99 for every 1,000
deliveries: umbilical cord
complications, 1st and 2nd degree
perineal lacerations, previous Csection, and abnormal fetal heart rate or rhythm.



Patients 35 to 44 years accounted for
15 percent of maternal stays with
complicating conditions (with or
without delivery), but comprised only
1 percent of delivery stays without
complicating conditions.

Anne Elixhauser, Ph.D. and Lauren M. Wier, M.P.H.

Introduction
Complications during pregnancy can pose a serious risk to
both maternal and infant health, and are associated with
various adverse outcomes, including miscarriage,
1
hemorrhage, preterm labor, and low birth weight. An
objective of the U.S. Department of Health & Human
Services’ Healthy People 2020 is to reduce maternal illness and complications related to pregnancy during hospitalization 2
for labor and delivery.
This Statistical Brief presents data from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample
(NIS) on pregnancy and childbirth hospitalizations with
complicating conditions in 2008. All data are reported from the maternal perspective (i.e., reflecting the experience of the mother, not the newborn). For the purpose of this Brief,
―complicating conditions‖ include all ICD-9-CM diagnosis codes that are in the section entitled ―Complications of
3
Pregnancy, Childbirth, and the Puerperium.‖
This Brief presents information on hospital utilization and
patient characteristics for the following types of hospital stays for:




complicated pregnancy during which no delivery
occurred (―non-delivery with complicating
conditions‖),
delivery with complicated pregnancy or delivery
(―delivery with complicating conditions‖), and
delivery without any mention of complicated
pregnancy or delivery (―delivery without complicating
conditions‖).

In addition, this report provides information on specific types of complicating conditions of pregnancy and delivery. All
differences between estimates noted in the text are
statistically significant at the 0.05 level or better.

Findings
There were 4,673,700 pregnancy and delivery hospital stays recorded in these hospital discharge data among females ages 15 to 44 years in 2008. As shown in table 1, there were 473,700 non-delivery 1

maternal hospital stays with complicating conditions as a principal or secondary diagnosis. Among the 4.2 million deliveries in 2008, the vast majority (94.1 percent) listed some type of complicating condition. Stays with pregnancy-related complicating conditions tended to be longer (2.9 days for non-delivery stays and 2.7 days for delivery stays) than delivery stays without complicating conditions (1.9 days). Maternal stays with...
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