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Injury: a major cause of pregnancy-associated morbidity in Massachusetts.
J Midwifery Womens Health. 2008 Jan-Feb; 53(1):3-10.JM

Abstract

Hospital visits (inpatient, observation, and emergency department) for injury occurring during pregnancy and 1 year postpartum (the pregnancy-associated period) were examined to determine groups at risk for injuries. The dataset included maternally linked vital records and hospital visit data for a population-based cohort of women residing in Massachusetts who delivered between 2002 and 2003 (n = 100,051). Injury morbidity (injury visits with International Classification of Diseases, Ninth Revision, Clinical Modification codes 800-999.99 or selected E-codes) was evaluated by individual woman- and visit-based analyses. Overall, one in seven women sought hospital care for pregnancy-associated injuries, and rates were as high as one in four for some subgroups. Most pregnancy-associated injury visits (91%) occurred in emergency departments. More than 4% of women had a motor vehicle collision, which was the leading cause of injury. The risk for injury was significantly higher among women who were adolescents (relative risk [RR] = 1.88; 95% confidence interval [CI], 1.78-1.98), black non-Hispanic (RR = 1.88; 95% CI, 1.80-1.97), those who had public insurance (RR = 2.50; 95% CI, 2.41-2.56), or those who had less than a high school education (RR = 2.48; 95% CI, 2.39-2.58) when compared with referent groups. Clinical guidelines for preconception and pregnancy-associated periods should include recommendations for injury history assessment and preventative counseling for women.

Authors+Show Affiliations

Bouvé College of Health Sciences School of Nursing at Northeastern University, Boston, MA 02115-5000, USA. a.nannini@neu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18164428

Citation

Nannini, Angela, et al. "Injury: a Major Cause of Pregnancy-associated Morbidity in Massachusetts." Journal of Midwifery & Women's Health, vol. 53, no. 1, 2008, pp. 3-10.
Nannini A, Lazar J, Berg C, et al. Injury: a major cause of pregnancy-associated morbidity in Massachusetts. J Midwifery Womens Health. 2008;53(1):3-10.
Nannini, A., Lazar, J., Berg, C., Tomashek, K., Cabral, H., Barger, M., Barfield, W., & Kotelchuck, M. (2008). Injury: a major cause of pregnancy-associated morbidity in Massachusetts. Journal of Midwifery & Women's Health, 53(1), 3-10. https://doi.org/10.1016/j.jmwh.2007.07.018
Nannini A, et al. Injury: a Major Cause of Pregnancy-associated Morbidity in Massachusetts. J Midwifery Womens Health. 2008 Jan-Feb;53(1):3-10. PubMed PMID: 18164428.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Injury: a major cause of pregnancy-associated morbidity in Massachusetts. AU - Nannini,Angela, AU - Lazar,Jane, AU - Berg,Cynthia, AU - Tomashek,Kay, AU - Cabral,Howard, AU - Barger,Mary, AU - Barfield,Wanda, AU - Kotelchuck,Milton, PY - 2008/1/1/pubmed PY - 2008/1/24/medline PY - 2008/1/1/entrez SP - 3 EP - 10 JF - Journal of midwifery & women's health JO - J Midwifery Womens Health VL - 53 IS - 1 N2 - Hospital visits (inpatient, observation, and emergency department) for injury occurring during pregnancy and 1 year postpartum (the pregnancy-associated period) were examined to determine groups at risk for injuries. The dataset included maternally linked vital records and hospital visit data for a population-based cohort of women residing in Massachusetts who delivered between 2002 and 2003 (n = 100,051). Injury morbidity (injury visits with International Classification of Diseases, Ninth Revision, Clinical Modification codes 800-999.99 or selected E-codes) was evaluated by individual woman- and visit-based analyses. Overall, one in seven women sought hospital care for pregnancy-associated injuries, and rates were as high as one in four for some subgroups. Most pregnancy-associated injury visits (91%) occurred in emergency departments. More than 4% of women had a motor vehicle collision, which was the leading cause of injury. The risk for injury was significantly higher among women who were adolescents (relative risk [RR] = 1.88; 95% confidence interval [CI], 1.78-1.98), black non-Hispanic (RR = 1.88; 95% CI, 1.80-1.97), those who had public insurance (RR = 2.50; 95% CI, 2.41-2.56), or those who had less than a high school education (RR = 2.48; 95% CI, 2.39-2.58) when compared with referent groups. Clinical guidelines for preconception and pregnancy-associated periods should include recommendations for injury history assessment and preventative counseling for women. SN - 1542-2011 UR - https://www.unboundmedicine.com/medline/citation/18164428/Injury:_a_major_cause_of_pregnancy_associated_morbidity_in_Massachusetts_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1526-9523(07)00294-2 DB - PRIME DP - Unbound Medicine ER -