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. 2022 Jul 1;5(7):e2224621.
doi: 10.1001/jamanetworkopen.2022.24621.

Associations Between State-Level Severe Maternal Morbidity and Other Perinatal Indicators

Ashley H Hirai  1 , Pamela L Owens  2 , Lawrence D Reid  2 , Catherine J Vladutiu  1 , Elliott K Main  3
Affiliations

Associations Between State-Level Severe Maternal Morbidity and Other Perinatal Indicators

Ashley H Hirai et al. JAMA Netw Open. .

Abstract

This cross-sectional study examines state-level associations between severe maternal morbidity and other perinatal indicators, including prepregnancy hypertension, prepregnancy diabetes, prepregnancy obesity, low-risk cesarean delivery, preterm birth, and maternal and infant mortality.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr. Main reported receiving grant funding from the National Institutes of Health outside of the submitted work and reported being a consultant for the Yale Center for Outcomes Research and Evaluation under a Centers for Medicare & Medicaid Services contract to develop a risk-adjusted measure for severe maternal morbidity and a consultant for the American College of Obstetricians and Gynecologists, assisting implementation of national safety bundles to reduce maternal mortality and severe morbidity. No other disclosures were reported.

Figures

Figure.
Figure.. Severe Maternal Morbidity and Maternal Mortality Rates by State
Severe maternal morbidity per 10 000 delivery hospitalizations was determined from the Healthcare Cost and Utilization Project–State Inpatient Databases, 2017 to 2019. State rates of severe maternal morbidity are displayed in a sequential red color scheme, with darker red indicating higher rates. Maternal mortality per 100 000 live births was determined from the National Vital Statistics System, 2016 to 2020; a checkbox to indicate pregnancy on the death certificate was not in use or did not follow national standards for California (all years) and West Virginia (2016 to mid-2017). State rates of maternal mortality are displayed in proportional blue circles with larger circles indicating higher rates.
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References

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