Table 4:
Rates of Severe Maternal morbidity, stratified by MCD diagnosis and route of delivery
| N (%) | Unadjusted Odds Ratio (95% Confidence Interval) | Adjusted* Odds Ratio (95% Confidence Interval) | |
|---|---|---|---|
| Severe Maternal Morbidity | |||
| No MCD, Vaginal Delivery | 174 (1.8) | 1 (reference) | 1 (reference) |
| No MCD, Cesarean Delivery | 377 (9.0) | 5.44 (4.53, 6.54) | 5.10 (4.00, 6.46) |
| MCD, Vaginal Delivery | 5 (4.0) | 2.27 (0.92, 5.65) | 2.33 (0.91, 5.99) |
| MCD, Cesarean Delivery | 26 (28.3) | 21.68 (13.24, 35.51) | 18.57 (10.67, 32.30) |
| Non-Transfusion Severe Maternal Morbidity | |||
| No MCD, Vaginal Delivery | 61 (0.6) | 1 (reference) | 1 (reference) |
| No MCD, Cesarean Delivery | 101 (2.4) | 3.92 (2.85, 5.40) | 3.65 (2.49, 5.34) |
| MCD, Vaginal Delivery | 4 (3.2) | 5.21 (1.86, 14.58) | 5.05 (1.68, 15.15) |
| MCD, Cesarean Delivery | 14 (15.2) | 28.51 (15.26, 53.28) | 24.38 (10.95, 54.30) |
Odds ratios compared to no MCD / vaginal delivery.
Models adjusted for patient age, race, parity, number of prior cesarean deliveries, body mass index, gestational age at delivery, and presence of selected comorbid conditions (alcohol use, asthma, cystic fibrosis, chronic kidney disease, gestational diabetes mellitus, pre-gestational diabetes, drug use, HIV/AIDS, multiple gestations, sickle cell anemia, systemic lupus erythematosus, and tobacco use)