Hamilton Margaret S, Brooten Dorothy, Youngblut JoAnne M
Florida International University School of Nursing, North Miami, FL 33181, USA.
J Perinatol. 2002 Oct-Nov;22(7):566-71. doi: 10.1038/sj.jp.7210796.
Examine frequency, timing, and reasons for maternal postpartum rehospitalizations and acute care visits 1 year postpartum after a high-risk pregnancy.
Secondary analysis of data collected during a randomized clinical trial of advanced practice nurses gives 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).
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.
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.
研究高危妊娠后产妇产后1年内再次住院和急诊就诊的频率、时间及原因。
对在一项针对高危妊娠女性的高级执业护士提供过渡性护理的随机临床试验中收集的数据进行二次分析。171名女性主要为非裔美国人，未婚，符合医疗补助资格，患有孕前糖尿病（20例）、妊娠期糖尿病（23例），有早产诊断（48例）或早产风险（44例），以及慢性高血压（36例）。
在所有再次住院（17%）和急诊就诊（32%）中，超过三分之一发生在产后前8周。慢性高血压患者和妊娠期糖尿病患者的再次住院率和急诊就诊比例最高。6名女性因后续妊娠再次住院。
高危妊娠女性在产后第一年持续大量使用医疗保健资源，表明需要更强化的患者教育和随访，以改善结局并减少资源使用。
