TABLE 4.
Maternal outcome | Unadjusted OR | 95% CI | Adjusted ORa | 95% CI |
---|---|---|---|---|
SMM composite outcomeb | 1.93c | 1.78–2.08c | 2.04c | 1.86–2.23c |
Maternal death | 7.71c | 2.26–26.35c | 18.10c | 2.48–131.61c |
Eclampsia | 2.05c | 1.27–3.31c | 1.74 | 0.89–3.40 |
Antepartum thrombosis | 2.30c | 1.74–3.04c | 2.95c | 2.09–4.16c |
Postpartum thrombosis | 3.30c | 1.96–5.55c | 2.59c | 1.26–5.33c |
Transfusion in labor | 3.10c | 2.69–3.57c | 3.16c | 2.61–3.83c |
Transfusion postpartum | 1.85c | 1.69–2.02c | 1.84c | 1.66–2.05c |
Hysterectomy | 5.83c | 3.82–8.87c | 7.66c | 4.57–12.85c |
Maternal ICU admission | 1.13 | 0.88–1.46 | 4.07c | 2.87–5.75c |
SMM composite without transfusion | 2.73c | 2.29–3.25c | 3.40c | 2.73–4.22c |
Postpartum hemorrhage | 2.15c | 2.03–2.28c | 2.08c | 1.94–2.24c |
Preeclampsia or eclampsia or HELLP | 1.50c | 1.38–1.64c | 1.33c | 1.18–1.50c |
Cesarean delivery | 1.49c | 1.40–1.53c | 1.47c | 1.37–1.57c |
Composite infectious morbidityd | 1.16c | 1.04–1.29c | 1.42c | 1.24–1.61c |
Wound infection | 1.94c | 1.55–2.42c | 2.17c | 1.71–2.76c |
Intrapartum chorioamnionitis | 0.96 | 0.84–1.09 | 1.18c | 1.01–1.38c |
Antepartum chorioamnionitis | 1.88c | 1.57–2.24c | 1.68c | 1.26–2.23c |
Endometritis | 0.96 | 0.72–1.29 | 1.10 | 0.74–1.65 |
Preterm delivery | 1.09c | 1.03–1.16c | 1.05 | 0.97–1.14 |
CI, confidence interval; HELLP, hemolysis, elevated liver enzymes, and low platelet counts; ICU, intensive care unit; OR, odds ratio; SMM, severe maternal morbidity.
Confounders controlled for were maternal age, body mass index, nulliparity, maternal race, marital status, insurance, diabetes, asthma, history of cesarean delivery, and alcohol use;
Composite includes maternal death, eclampsia, thrombosis, transfusion, hysterectomy, ICU admission;
Denotes statistical significance;
Composite includes wound infection, chorioamnionitis, endometritits.