Date of this Version
2002
Document Type
Article
Abstract
OBJECTIVE
Examine frequency, timing, and reasons for maternal postpartum rehospitalizations and acute care visits 1 year postpartum after a high - risk pregnancy.
STUDY DESIGN
Secondary analysis of data collected during a randomized clinical trial of advanced practice nurses giving transitional care for women with high - risk pregnancies. The 171 women were primarily African American, never married, Medicaid eligible, diagnosed with pregestational diabetes (20), gestational diabetes (23), either diagnosed (48) or at risk (44) for preterm labor, and chronic hypertension (36).
RESULTS
Of the total rehospitalizations (17%) and acute care visits (32%), over one third occurred in the first 8 weeks postpartum. Chronic hypertensives and gestational diabetics had the highest rate of rehospitalization and proportion of acute care visits. Six women were rehospitalized for subsequent pregnancies.
CONCLUSION
Women with high - risk pregnancies have continued high health care resource use over the first postpartum year demonstrating the need for more intensive patient education and follow - up to improve outcomes and reduce resource use.
Recommended Citation
Hamilton, Margaret S.; Brooten, Dorothy; and Youngblut, JoAnne M., "High-Risk Pregnancy: Postpartum Rehospitalization" (2002). Nicole Wertheim College of Nursing and Health Sciences. 30.
https://digitalcommons.fiu.edu/cnhs_fac/30
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Comments
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The publisher's final edited version of this article is available free at J Perinatol