8, 2019 (HealthDay News) -- The dual burden of preterm birth and severe maternal morbidity
(SMM) has a rate of 37 per 10,000 births in California, according to a study published online July 17 in the Journal of Maternal-Fetal & Neonatal Medicine.
The population-based incidence of severe acute maternal morbidity
occurring between 22 weeks of gestation and 42 days post partum in the 2012-2013 French multicenter study was 6.2% among 3,202 twin pregnancies and 1.3% among 179,107 singleton pregnancies, Hugo Madar, MD, MPH, of Bordeaux (France) University Hospital, and colleagues reported on behalf of the EPIMOMS (Epidemiologie de la Morbidite Maternelle Severe) study group.
"Their work continues through collaborative efforts to reduce severe maternal morbidity
and mortality from hemorrhage and preeclampsia, preventing unnecessary cesarean sections for first-time, healthy mothers and eliminating racial disparities in outcomes," said Bennett.
The secondary outcome was composite maternal morbidity
that included intensive care unit admission, blood transfusion, uterine rupture, or unplanned hysterectomy.
Severe maternal morbidity
is a blanket term for 18 indicators of life-threatening maternal conditions associated with childbirth, including kidney failure, fluid in the lungs, and heart failure.
This practice should be modified to avoid unnecessarily exposing women older than 35 to the risk of severe acute maternal morbidity
," Korb suggested.
associated with caesarean are infection, haemorrhage, thromboembolism, anaesthetic complications, bladder and bowel injury, hysterectomy, rehospitalisation for wound infections, longer initial hospital stays, risk of uterine rupture, abnormal placental implantation in subsequent pregnancy.
associated with multiple repeat cesarean deliveries.
Some researchers have found that there is no increase in maternal morbidity
in women who undergo three or more CSs and have encouraged these women to consider additional pregnancies.3 Select case reports have also documented situations in which women with more than 10 CSs have been safely delivered.4
Nurses, I implore you to partner with me and commit to decreasing and mitigating maternal morbidity
The American College of Obstetricians and Gynecologists reports that Illinois reduced severe maternal morbidity
by about 22 percent and morbidity due to hypertension by nearly 20 percent through the AIM initiative.