In-Hospital Mortality Among Pregnant and Postpartum Individuals by Pregnancy Period

More than half of hospital-based maternaldeaths occur at times other than childbirth umich jamanetworkopen

). From 1994 to 2015, overall rates of inpatient mortality for antenatal and postpartum hospitalizations were 4.5 and 3.0 deaths per 100 000 hospital deliveries, respectively. An estimated 1480 inpatient deaths and 10 898 224 delivery hospitalizations were identified in 2017 to 2019; rates of death for antenatal, delivery, and postpartum hospitalizations were, respectively, 2.9 , 6.1 , and 4.5 deaths per 100 000 hospital deliveries.

Resources directed toward improving quality of care at obstetric delivery have been associated with decreased rates of severe morbidityand may be associated with decreased mortality identified during delivery hospitalizations. Clinical and policy efforts, however, may need to be additionally directed toward antenatal and postpartum hospitalizations and structural factors associated with increased risk for adverse outcomes before and after delivery.

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