Complicating Conditions of Pregnancy and Childbirth

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). 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, rate of 50 99 for every 1 ,OOO eliveries: 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, emorrhage, 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 for labor and delivery.This Statistical Brief presents data from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (N'S) 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 his 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 utiliza tion 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 regnancy or delivery (†delivery without complicating conditions]). In addition, this report provides information on specific types of complicating conditions of pregnancy and delivery.