Table 3.
Severe Maternal Morbidity Rates by Race and Site of Care, per 1000 Deliveries
| No. of Deliveries (National Estimates) | Unadjusted rate (95% CI) | Rate adjusted for patient characteristics (95% CI) | Rate adjusted for patient characteristics and site of care (95% CI) | Rate adjusted for patient and hospital characteristics (95% CI) | |
|---|---|---|---|---|---|
| Race | |||||
| White | 3,584,639 | 11.8 (11.2-12.5) | 13.3 (12.5-14.1) | 13.8 (12.9-14.7) | 13.8 (12.9-14.7) |
| Black | 1,024,652 | 25.8 (2.35-2.80) | 18.8 (17.1-20.5) | 17.3 (16.1-18.5) | 17.3 (16.2-18.4) |
| Site of care | |||||
| Low black-serving hospitals | 3,279,641 | 11.8 (11.0-12.6) | 13.4 (12.6-14.3) | 13.5 (12.6-14.5) | |
| Medium black-serving hospitals | 1,000,458 | 18.4 (16.8-20.1) | 16.5 (15.1-17.9) | 16.5 (15.0-18.0) | |
| High black-serving hospitals | 329,193 | 29.1 (21.6-36.5) | 18.1 (13.5-22.7) | 17.3 (12.9-21.7) |
Patient characteristics include age, insurance, zip code income, comorbidities and pregnancy complications.1
Hospital factors include teaching status, bed size, location, region, control, volume of deliveries, percent Medicaid deliveries.