Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • MD Brand Connect
  • Vaccine Hub
  • MDTV
    • Breaking News
    • Medical News Today
    • Health News Today
    • Latest
    • Journal Club
    • Medico Legal Update
    • Latest Webinars
    • MD Shorts
    • Health Dialogues
  • Fact Check
  • Health Dialogues
Medical Dialogues
  • Medical News & Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • Fact Check
      • Bone Health Fact Check
      • Brain Health Fact Check
      • Cancer Related Fact Check
      • Child Care Fact Check
      • Dental and oral health fact check
      • Diabetes and metabolic health fact check
      • Diet and Nutrition Fact Check
      • Eye and ENT Care Fact Check
      • Fitness fact check
      • Gut health fact check
      • Heart health fact check
      • Kidney health fact check
      • Medical education fact check
      • Men's health fact check
      • Respiratory fact check
      • Skin and hair care fact check
      • Vaccine and Immunization fact check
      • Women's health fact check
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Abroad
  • Industry
      • Health Investment News
      • Health Startup News
      • Medical Devices News
      • Pharma News
      • Pharmacy Education News
      • Industry Perspective
  • MDTV
      • Health Dialogues MDTV
      • Health News today MDTV
      • Latest Videos MDTV
      • Latest Webinars MDTV
      • MD shorts MDTV
      • Medical News Today MDTV
      • Medico Legal Update MDTV
      • Top Videos MDTV
      • Health Perspectives MDTV
      • Journal Club MDTV
      • Medical Dialogues Show
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news & Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • Fact Check
    • Bone Health Fact Check
    • Brain Health Fact Check
    • Cancer Related Fact Check
    • Child Care Fact Check
    • Dental and oral health fact check
    • Diabetes and metabolic health fact check
    • Diet and Nutrition Fact Check
    • Eye and ENT Care Fact Check
    • Fitness fact check
    • Gut health fact check
    • Heart health fact check
    • Kidney health fact check
    • Medical education fact check
    • Men's health fact check
    • Respiratory fact check
    • Skin and hair care fact check
    • Vaccine and Immunization fact check
    • Women's health fact check
  • AYUSH
    • Ayurveda
      • Ayurveda Giuidelines
      • Ayurveda News
    • Homeopathy
      • Homeopathy Guidelines
      • Homeopathy News
    • Siddha
      • Siddha Guidelines
      • Siddha News
    • Unani
      • Unani Guidelines
      • Unani News
    • Yoga
      • Yoga Guidelines
      • Yoga News
  • State News
    • Andaman and Nicobar Islands
    • Andhra Pradesh
    • Arunachal Pradesh
    • Assam
    • Bihar
    • Chandigarh
    • Chattisgarh
    • Dadra and Nagar Haveli
    • Daman and Diu
    • Delhi
    • Goa
    • Gujarat
    • Haryana
    • Himachal Pradesh
    • Jammu & Kashmir
    • Jharkhand
    • Karnataka
    • Kerala
    • Ladakh
    • Lakshadweep
    • Madhya Pradesh
    • Maharashtra
    • Manipur
    • Meghalaya
    • Mizoram
    • Nagaland
    • Odisha
    • Puducherry
    • Punjab
    • Rajasthan
    • Sikkim
    • Tamil Nadu
    • Telangana
    • Tripura
    • Uttar Pradesh
    • Uttrakhand
    • West Bengal
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Abroad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
    • Industry Perspective
  • Home
  • Obstetrics and Gynaecology
  • Obstetrics and Gynaecology News
  • Stillbirths Linked to...

Stillbirths Linked to Higher Postpartum Readmission Risk: Study Reveals

Written By : Dr Riya Dave |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2024-06-28T07:15:14+05:30  |  Updated On 28 Jun 2024 7:15 AM IST
Stillbirths Linked to Higher Postpartum Readmission Risk: Study Reveals
  • facebook
  • twitter
  • linkedin
  • whatsapp
  • Telegram
  • Email

Researchers have found that the risk for postpartum readmission is significantly higher among patients who experience stillbirths compared to those who have live births. A recent retrospective cohort study utilizing the 2019 Nationwide Readmissions Database sheds light on this increased risk, emphasizing the need for targeted postnatal care and support for individuals who suffer stillbirths. This study was published in the American Journal of Obstetrics and Gynecology by Leena C. and colleagues.

Stillbirth, a devastating event, not only impacts maternal health through physical complications but also poses a significant psychosocial hazard. Pregnant people with comorbid conditions and obstetrical complications are more prone to stillbirth, which in turn increases maternal morbidity and necessitates careful postpartum management. This study aimed to compare the risk of postpartum readmission between patients with stillbirths and live births, identifying key indications for readmission and associated risk factors.

This retrospective cohort study included patients with singleton stillbirths or live births delivered at or beyond 20 weeks’ gestation. The primary outcome measured was all-cause readmission within six weeks of discharge from the childbirth hospitalization. The study utilized multivariable regression models to adjust for maternal age, sociodemographic characteristics, maternal and obstetrical conditions, and delivery characteristics.

  • Postpartum readmission occurred in 2.7% of 16,636 patients with stillbirths compared to 1.6% of 2,870,677 patients with live births (unadjusted risk ratio, 1.65; 95% confidence interval [CI], 1.47–1.86).

  • The adjusted risk ratio for readmission after stillbirth versus live birth was 1.27 (95% CI, 1.11–1.46).

  • 30.2% for stillbirths vs. 39.5% for live births (unadjusted risk ratio, 0.76; 95% CI, 0.63–0.93).

  • 6.8% for stillbirths vs. 3.6% for live births (unadjusted risk ratio, 1.90; 95% CI, 1.15–3.16).

  • 5.8% for stillbirths vs. 2.0% for live births (unadjusted risk ratio, 2.87; 95% CI, 1.60–5.17).

  • Among patients with stillbirths, 56.0% of readmissions occurred within one week, 71.8% within two weeks, and 88.1% within four weeks. The timing did not significantly differ between the stillbirth and live birth cohorts.

Risk Factors for Readmission after Stillbirth:

  • Pregestational Diabetes: Adjusted risk ratio, 1.87 (95% CI, 1.20–2.93).

  • Gestational Diabetes: Adjusted risk ratio, 1.67 (95% CI, 1.03–2.71).

  • Hypertensive Disorders of Pregnancy: Adjusted risk ratio, 1.80 (95% CI, 1.31–2.47).

  • Obesity: Adjusted risk ratio, 1.46 (95% CI, 1.01–2.12).

  • Primary Cesarean Delivery: Adjusted risk ratio, 1.74 (95% CI, 1.17–2.58).

  • Higher Household Income: Associated with a lower risk for readmission (adjusted risk ratio for income ≥$82,000 vs. $1–$47,999, 0.48; 95% CI, 0.30–0.77).

The study underscores the higher risk for postpartum readmission among patients who experience stillbirths compared to those with live births, even after accounting for various maternal and obstetrical factors. This increased risk is particularly associated with mental health or substance use disorders and venous thromboembolism, highlighting the need for comprehensive postnatal care strategies that address both physical and psychological health.

The findings of this study emphasize the critical need for enhanced postpartum care for individuals who have experienced stillbirths. The higher risk of readmission, particularly due to mental health issues and venous thromboembolism, calls for targeted interventions and support systems to improve maternal health outcomes in this vulnerable group.

Reference:

Sweeney, L. C., Reddy, U. M., Campbell, K., & Xu, X. (2024). Postpartum readmission risk: a comparison between stillbirths and live births. American Journal of Obstetrics and Gynecology. https://doi.org/10.1016/j.ajog.2024.02.017

American Journal of Obstetrics and Gynecologystillbirthpostpartum readmissionmaternal morbiditymental healthvenous thromboembolismgestational diabeteshypertensive disorders of pregnancycesarean delivery
Source : American Journal of Obstetrics and Gynecology
Dr Riya Dave
Dr Riya Dave

    Dr Riya Dave has completed dentistry from Gujarat University in 2022. She is a dentist and accomplished medical and scientific writer known for her commitment to bridging the gap between clinical expertise and accessible healthcare information. She has been actively involved in writing blogs related to health and wellness.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

    Show Full Article
    Next Story

    Editorial

    Azmarda Outperforms Generic Sacubitril/Valsartan in HFrEF Management, says new study

    Azmarda Outperforms Generic Sacubitril/Valsartan in HFrEF Management, says new study

    First Indian Consensus on Managing Refractory Gastroesophageal Reflux Disease Recommends Vonoprazan

    First Indian Consensus on Managing Refractory Gastroesophageal Reflux Disease Recommends Vonoprazan

    Re-visiting the Role of Pneumococcal Vaccination in Patients with Cardiovascular Diseases

    Re-visiting the Role of Pneumococcal Vaccination in Patients with Cardiovascular Diseases

    Prediabetes and the Mind: Unraveling Cognitive and Mental Health Risks

    Prediabetes and the Mind: Unraveling Cognitive and Mental Health Risks

    Real-World Case study: Darbepoetin Alfa for Chemotherapy-Induced Anemia in Metastatic Breast Cancer - Dr Aditya Murali

    Real-World Case study: Darbepoetin Alfa for Chemotherapy-Induced Anemia in Metastatic Breast Cancer...

    View All

    Journal Club Today

    Universal Heart Health Advice Ignores Realities in Low-Income Countries: Study Finds

    Universal Heart Health Advice Ignores Realities in Low-Income Countries: Study Finds

    View All

    Health News Today

    Health Bulletin 24/May/2025

    Health Bulletin 24/May/2025

    View All
    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    X
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok