管理式医疗参保人中孕期住院情况。

Hospitalizations during pregnancy among managed care enrollees.

作者信息

Gazmararian Julie A, Petersen Ruth, Jamieson Denise J, Schild Laura, Adams Melissa M, Deshpande Anjali D, Franks Adele L

机构信息

Emory Center on Health Outcomes and Quality, formerly the USQA Center for Health Care Research, Atlanta, Georgia 30322, USA.

出版信息

Obstet Gynecol. 2002 Jul;100(1):94-100. doi: 10.1016/s0029-7844(02)02024-0.

DOI:10.1016/s0029-7844(02)02024-0

PMID:12100809

Abstract

OBJECTIVE

To describe the prevalence of hospitalizations during pregnancy, the reason for hospitalization, the length of stay, and the associated costs.

METHODS

We analyzed data from a national managed care organization and determined the occurrence of hospitalizations for 46,179 women who had a live birth or a pregnancy loss in 1997.

RESULTS

Overall, 8.7% of women were hospitalized during their pregnancy. Of these, 5.7% were hospitalized and discharged while pregnant, 0.8% experienced extended stays before a live birth or pregnancy loss, and 2.1% experienced pregnancy loss. Hospitalizations were more common among younger women, women with multiple gestations, and women in the northeastern United States. Women who had a live birth were primarily hospitalized for preterm labor (24%), hyperemesis (9%), hypertension (9%), kidney disorders (6%), and prolonged premature rupture of membranes (6%). Charges totaled over $36 million.

CONCLUSION

Antenatal hospitalizations are common.

摘要

目的

描述孕期住院的发生率、住院原因、住院时长及相关费用。

方法

我们分析了一家全国性管理式医疗组织的数据，确定了1997年46179例有活产或妊娠丢失的女性的住院情况。

结果

总体而言，8.7%的女性在孕期住院。其中，5.7%的女性在孕期住院并出院，0.8%的女性在活产或妊娠丢失前住院时间延长，2.1%的女性发生妊娠丢失。住院在年轻女性、多胎妊娠女性以及美国东北部女性中更为常见。有活产的女性主要因早产（24%）、妊娠剧吐（9%）、高血压（9%）、肾脏疾病（6%）和胎膜早破时间延长（6%）而住院。费用总计超过3600万美元。