Table 3.
Adjusted obstetric outcomes, healthcare utilization and expenditures among women with depression/anxiety and serious mental illness, 2006–2015 (N = 7,906,820)a
| All Other Hospital Deliveries (n = 7,637,348) |
PMAD (n = 219,294) |
SMI (n = 50,178) |
|
|---|---|---|---|
| Obstetric outcomes | |||
| Severe maternal morbidity/mortality | 1.5 (1.5–1.5) | 2.3 (2.2–2.4) | 2.1 (1.9–2.2) |
| Preterm deliveryb | 6.7 (6.7–7.0) | 9.7 (9.4–10.0) | 10.8 (10.4–11.1) |
| Cesarean delivery | 32.7 (32.4–33.0) | 37.7 (37.3–38.1) | 38.8 (38.2–39.2) |
| Healthcare utilization | |||
| Hospital transfer | 0.7 (0.7–0.8) | 1.5 (1.4–1.6) | 2.2 (2.0–2.4) |
| Mean Length of stay (days)c | 2.6 (2.6–2.6) | 3.1 (3.0–3.1) | 3.1 (3.1–3.2) |
| Healthcare expenditures | |||
| Mean cost per delivery hospitalization (USD, mean)d | 4400 (4300-4500) | 5200 (5100-5200) | 5300 (5200-5400) |
aAll proportions are survey-weighted and represented as rate per 100 delivery hospitalizations (95% Confidence Interval) unless otherwise noted. Adjusted for maternal age, payer, ZIP code income quartile, rural residence, hospital region. P < 0.001 for all comparisons
bDelivery at less than 37 weeks gestational age
cMeans are reported with 95% confidence intervals
dCosts are inflation-adjusted to 2015 U.S. dollars (USD)