Mode of Delivery and Risk of Postpartum Rehospitalization

Maternal obesity and risk of cesarean delivery: a meta‐analysis

“…The independent and consistent finding suggests that overweight and obesity, per se , during pregnancy should be considered a risk for cesarean delivery regardless of other complications of obesity (11,13,43). Moreover, intensified monitoring may be needed for this group because obese women are much more likely to experience infections and other complications from cesarean delivery than are non‐obese women (60–63), with longer hospital stays and rehospitalization and higher costs (64–66). Given these increased risks, future research is needed to better understand the mechanisms by which maternal obesity causes cesarean deliveries as well as the potential impact of weight loss before pregnancy.…”

Risk factors for re‐hospitalization following cesarean delivery at term

“…[3][4][5][6] The reported rate of postpartum re-hospitalization, including vaginal deliveries and CDs, ranged between 0.98% and 2.16%. [7][8][9][10][11]…”

A Randomized Trial of Single Home Nursing Visits vs Office-Based Care After Nursery/Maternity Discharge

“…[3][4][5][6][7] This may be exacerbated by inconsistent or untimely follow-up after hospital discharge, and since passage of the Newborns' and Mothers' Health Protection Act (NMHPA) by the US Congress in 1996, 8 data have emerged suggesting that postdischarge care actually may have worsened for newborns in recent years. [9][10][11][12][13] Numerous maternal morbidities also occur in the immediate postpartum period, [14][15][16][17][18][19] and the Health Employer Data and Information Set 20 has demonstrated that women's attendance at postpartum fol-low-up appointments is suboptimal: 80% of women with private insurance and only 55% insured by Medicaid have a postpartum visit. Improving health care delivery for postpartum mothers is clearly important.…”

“…4,5,23,[32][33][34][35][36][37][38][39][40][41][42][43] Second, maternal postpartum morbidities are also most likely to occur within 2 weeks of childbirth. [15][16][17][18] Third, a single HNV occurring shortly after discharge was hypothesized to have greater short-term benefits. Healthcare utilization in the first 60 days after delivery also was assessed as a secondary outcome.…”