Last data update: Apr 29, 2024. (Total: 46658 publications since 2009)
Records 1-6 (of 6 Records) |
Query Trace: Hollier LM[original query] |
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Hospitalization with cardiovascular conditions in the postpartum year among commercially insured women in the U.S
Ford ND , DeSisto CL , Womack LS , Galang RR , Hollier LM , Sperling LS , Wright JS , Ko JY . J Am Coll Cardiol 2024 83 (2) 382-384 Cardiovascular conditions are significant contributors to morbidity and mortality among pregnant and postpartum women.1 | | We used data from the MarketScan Commercial Claims and Encounters database to identify women 12 to 55 years of age who delivered from 2017 to 2019. Delivery hospitalizations and cardiovascular diagnoses and procedures (ie, conditions) were identified using International Classification of Diseases-10th Revision-Clinical Modification codes. Cardiovascular conditions included acute heart failure or pulmonary edema; acute myocardial infarction; arrhythmia; conduction disorders; cardiac arrest, ventricular fibrillation, or ventricular flutter; cardiomyopathy; congenital heart and great artery defects; conversion of cardiac rhythm; endocarditis, myocarditis, or pericarditis; hypertensive heart disease; ischemic heart disease; nonrheumatic valve disorders; pulmonary heart disease; rheumatic heart disease; and other heart diseases and complications. We calculated the prevalence of hospitalizations with any cardiovascular condition in the year postpartum. Among these patients, we calculated the prevalence of cardiovascular conditions at delivery hospitalization and the frequency of postpartum hospitalizations. For postpartum hospitalizations with cardiovascular conditions, we calculated timing relative to delivery hospitalization and the prevalence (95% CI) of specific cardiovascular conditions by timing since delivery hospitalization (early postpartum [1–42 days] vs late postpartum [43–365 days]), accounting for clustering at the patient level. The data were collected and statistically deidentified. The data are also compliant with the conditions set forth in sections 164.514(a) and 164.51(b)(1)(ii) of the Health Insurance Portability and Accountability Act of 1996 Privacy Rule; therefore, approval from an Institutional Review Board was not sought. |
Mortalité maternelle : plus ça change, plus c'est pareil
Cook J , Hollier LM , Knight M . J Obstet Gynaecol Can 2023 45 (12) 102275 Une femme enceinte à 31 semaines d’aménorrhée connaissait une grossesse jusque là sans complication lorsqu’elle a appelé au cabinet de son obstétricien pour une enflure de la jambe qui durait depuis quelques jours. On lui avait conseillé de se lever et de marcher dans la journée, de surélever ses jambes lorsqu’elle s’asseyait et d’appliquer un linge froid sur la jambe enflée. Le lendemain, elle s’est présentée à l’hôpital pour un essoufflement et est décédée peu de temps après des suites d’une embolie pulmonaire. | Après une grossesse sans complication, une femme avait été admise à l’hôpital pour un déclenchement du travail à 36 semaines d’aménorrhée. Après l’accouchement, la mère et le bébé se portaient bien et le personnel infirmier n’avait aucune inquiétude. Trois jours plus tard, la mère est retournée à l’urgence pour une fièvre et est décédée d’un sepsis causé par une infection post-partum à streptocoque du groupe A (foyer d’infection inconnu). | Une adolescente multipare avait subi un avortement spontané avant son décès. Elle avait des antécédents d’abus dans son enfance, de recours aux services de santé mentale pédiatrique et de l’adolescence, de mésusage de substances psychoactives et de violence conjugale. Un diagnostic de trouble affectif bipolaire avait été soulevé sans être confirmé. La patiente avait refusé d’être orientée vers une équipe de santé mentale périnatale avant son suicide. | Ces histoires sont celles de femmes qui sont récemment décédées pendant la grossesse ou la période post-partum au Canada, au Royaume-Uni et aux États-Unis. Ces histoires sont essentiellement la même. Trois pays. Trois systèmes de santé en difficulté. Trois approches de prévention de la mortalité maternelle. Tant de leçons à tirer les uns des autres. |
Maternal mortality: The more things change, the more they stay the same
Cook J , Hollier LM , Knight M . J Obstet Gynaecol Can 2023 45 (12) 102274 A woman’s pregnancy was uneventful until 31 weeks gestation when she called her obstetrician’s office due to a few-day history of swelling in her leg. She was advised to get up and walk around throughout the day, elevate her legs while sitting, and apply a cool cloth to the leg. The next day, she presented to hospital with shortness of breath and died shortly after from a pulmonary embolus. | After an uncomplicated pregnancy, a woman was admitted with the onset of labour at 36 weeks’ gestation. After the birth, the mother and baby were doing well, and there were no nursing concerns. Three days following the birth, the mother returned to the emergency room with a fever and died from sepsis due to postpartum Group A Streptococcus infection (site of infection unknown). | A multiparous teenager had a miscarriage before her death. She had a history of child abuse, involvement with Child and Adolescent Mental Health Services, substance misuse, and domestic violence. A diagnosis of bipolar affective disorder had been raised but not confirmed. A referral to a Perinatal Mental Health Team had been declined prior to her death by suicide. |
Abortion surveillance - United States, 2021
Kortsmit K , Nguyen AT , Mandel MG , Hollier LM , Ramer S , Rodenhizer J , Whiteman MK . MMWR Surveill Summ 2023 72 (9) 1-29 PROBLEM/CONDITION: CDC conducts abortion surveillance to document the number and characteristics of women obtaining legal induced abortions and number of abortion-related deaths in the United States. PERIOD COVERED: 2021. DESCRIPTION OF SYSTEM: Each year, CDC requests abortion data from the central health agencies for the 50 states, the District of Columbia, and New York City. For 2021, a total of 48 reporting areas voluntarily provided aggregate abortion data to CDC. Of these, 47 reporting areas provided data each year during 2012-2021. Census and natality data were used to calculate abortion rates (number of abortions per 1,000 women aged 15-44 years) and ratios (number of abortions per 1,000 live births), respectively. Abortion-related deaths from 2020 were assessed as part of CDC's Pregnancy Mortality Surveillance System (PMSS). RESULTS: A total of 625,978 abortions for 2021 were reported to CDC from 48 reporting areas. Among 47 reporting areas with data each year during 2012-2021, in 2021, a total of 622,108 abortions were reported, the abortion rate was 11.6 abortions per 1,000 women aged 15-44 years, and the abortion ratio was 204 abortions per 1,000 live births. From 2020 to 2021, the total number of abortions increased 5% (from 592,939 total abortions), the abortion rate increased 5% (from 11.1 abortions per 1,000 women aged 15-44 years), and the abortion ratio increased 4% (from 197 abortions per 1,000 live births). From 2012 to 2021, the total number of reported abortions decreased 8% (from 673,634), the abortion rate decreased 11% (from 13.1 abortions per 1,000 women aged 15-44 years), and the abortion ratio decreased 1% (from 207 abortions per 1,000 live births).In 2021, women in their 20s accounted for more than half of abortions (57.0%). Women aged 20-24 and 25-29 years accounted for the highest percentages of abortions (28.3% and 28.7%, respectively) and had the highest abortion rates (19.7 and 19.4 abortions per 1,000 women aged 20-24 and 25-29 years, respectively). By contrast, adolescents aged <15 years and women aged ≥40 years accounted for the lowest percentages of abortions (0.2% and 3.6%, respectively) and had the lowest abortion rates (0.4 and 2.5 abortions per 1,000 women aged <15 and ≥40 years, respectively). However, abortion ratios were highest among adolescents (aged ≤19 years) and lowest among women aged 30-39 years.From 2020 to 2021, abortion rates increased among women aged 20-39 years, decreased among adolescents aged 15-19 years, and did not change among adolescents aged <15 years and women aged ≥40 years. Abortion rates decreased from 2012 to 2021 among all age groups, except women aged 30-34 years for whom it increased. The decrease in the abortion rate from 2012 to 2021 was highest among adolescents compared with any other age group. From 2020 to 2021, abortion ratios increased for women aged 15-24 years, decreased among adolescents aged <15 years and women aged ≥35 years and did not change for women aged 25-34 years. From 2012 to 2021, abortion ratios increased among women aged 15-29 years and decreased among adolescents aged <15 years and women aged ≥30 years. The decrease in abortion ratio from 2012 to 2021 was highest among women aged ≥40 years compared with any other age group.In 2021, the majority (80.8%) of abortions were performed at ≤9 weeks' gestation, and nearly all (93.5%) were performed at ≤13 weeks' gestation. During 2012-2021, the percentage of abortions performed at >13 weeks' gestation remained ≤8.7%. In 2021, the highest percentage of abortions were performed by early medication abortion at ≤9 weeks' gestation (53.0%), followed by surgical abortion at ≤13 weeks' gestation (37.6%), surgical abortion at >13 weeks' gestation (6.4%), and medication abortion at >9 weeks' gestation (3.0%); all other methods were uncommon (<0.1%). Among those that were eligible (≤9 weeks' gestation), 66.6% of abortions were early medication abortions. In 2020, the most recent year for which PMSS data were reviewed for pregnancy-related deaths; six women died as a result of complications from legal induced abortion. INTERPRETATION: Among the 47 areas that reported data continuously during 2012-2021, overall decreases were observed during 2012-2021 in the total number, rate, and ratio of reported abortions; however, from 2020 to 2021, increases were observed across all measures. PUBLIC HEALTH ACTION: Abortion surveillance can be used to help evaluate programs aimed at promoting equitable access to patient-centered quality contraceptive services in the United States to reduce unintended pregnancies. |
Vital Signs: Maternity care experiences - United States, April 2023
Mohamoud YA , Cassidy E , Fuchs E , Womack LS , Romero L , Kipling L , Oza-Frank R , Baca K , Galang RR , Stewart A , Carrigan S , Mullen J , Busacker A , Behm B , Hollier LM , Kroelinger C , Mueller T , Barfield WD , Cox S . MMWR Morb Mortal Wkly Rep 2023 72 (35) 961-967 INTRODUCTION: Maternal deaths increased in the United States during 2018-2021, with documented racial disparities. Respectful maternity care is a component of quality care that includes preventing harm and mistreatment, engaging in effective communication, and providing care equitably. Improving respectful maternity care can be part of multilevel strategies to reduce pregnancy-related deaths. METHODS: CDC analyzed data from the PN View Moms survey administered during April 24-30, 2023, to examine the following components of respectful care: 1) experiences of mistreatment (e.g., violations of physical privacy, ignoring requests for help, or verbal abuse), 2) discrimination (e.g., because of race, ethnicity or skin color; age; or weight), and 3) reasons for holding back from communicating questions or concerns during maternity (pregnancy or delivery) care. RESULTS: Among U.S. mothers with children aged <18 years, 20% reported mistreatment while receiving maternity care for their youngest child. Approximately 30% of Black, Hispanic, and multiracial respondents and approximately 30% of respondents with public insurance or no insurance reported mistreatment. Discrimination during the delivery of maternity care was reported by 29% of respondents. Approximately 40% of Black, Hispanic, and multiracial respondents reported discrimination, and approximately 45% percent of all respondents reported holding back from asking questions or discussing concerns with their provider. CONCLUSIONS AND IMPLICATIONS FOR PUBLIC HEALTH PRACTICE: Approximately one in five women reported mistreatment during maternity care. Implementing quality improvement initiatives and provider training to encourage a culture of respectful maternity care, encouraging patients to ask questions and share concerns, and working with communities are strategies to improve respectful maternity care. |
Abortion surveillance - United States, 2020
Kortsmit K , Nguyen AT , Mandel MG , Clark E , Hollier LM , Rodenhizer J , Whiteman MK . MMWR Surveill Summ 2022 71 (10) 1-27 PROBLEM/CONDITION: CDC conducts abortion surveillance to document the number and characteristics of women obtaining legal induced abortions and number of abortion-related deaths in the United States. PERIOD COVERED: 2020. DESCRIPTION OF SYSTEM: Each year, CDC requests abortion data from the central health agencies for the 50 states, the District of Columbia, and New York City. For 2020, a total of 49 reporting areas voluntarily provided aggregate abortion data to CDC. Of these, 48 reporting areas provided data each year during 2011-2020. Census and natality data were used to calculate abortion rates (number of abortions per 1,000 women aged 15-44 years) and ratios (number of abortions per 1,000 live births), respectively. Abortion-related deaths from 2019 were assessed as part of CDC's Pregnancy Mortality Surveillance System (PMSS). RESULTS: A total of 620,327 abortions for 2020 were reported to CDC from 49 reporting areas. Among 48 reporting areas with data each year during 2011-2020, in 2020, a total of 615,911 abortions were reported, the abortion rate was 11.2 abortions per 1,000 women aged 15-44 years, and the abortion ratio was 198 abortions per 1,000 live births. From 2019 to 2020, the total number of abortions decreased 2% (from 625,346 total abortions), the abortion rate decreased 2% (from 11.4 abortions per 1,000 women aged 15-44 years), and the abortion ratio increased 2% (from 195 abortions per 1,000 live births). From 2011 to 2020, the total number of reported abortions decreased 15% (from 727,554), the abortion rate decreased 18% (from 13.7 abortions per 1,000 women aged 15-44 years), and the abortion ratio decreased 9% (from 217 abortions per 1,000 live births).In 2020, women in their 20s accounted for more than half of abortions (57.2%). Women aged 20-24 and 25-29 years accounted for the highest percentages of abortions (27.9% and 29.3%, respectively) and had the highest abortion rates (19.2 and 19.0 abortions per 1,000 women aged 20-24 and 25-29 years, respectively). By contrast, adolescents aged <15 years and women aged 40 years accounted for the lowest percentages of abortions (0.2% and 3.7%, respectively) and had the lowest abortion rates (0.4 and 2.6 abortions per 1,000 women aged <15 and 40 years, respectively). However, abortion ratios were highest among adolescents (aged 19 years) and lowest among women aged 25-39 years.Abortion rates decreased from 2011 to 2020 among all age groups. The decrease in abortion rate was highest among adolescents compared with any other age group. From 2019 to 2020, abortion rates decreased or did not change for all age groups. Abortion ratios decreased from 2011 to 2020 for all age groups, except adolescents aged 15-19 years and women aged 25-29 years for whom abortion ratios increased. The decrease in abortion ratio was highest among women aged 40 years compared with any other age group. From 2019 to 2020, abortion ratios decreased for adolescents aged <15 years and women aged 35 and increased for women 15-34 years.In 2020, 80.9% of abortions were performed at 9 weeks' gestation, and nearly all (93.1%) were performed at 13 weeks' gestation. During 2011-2020, the percentage of abortions performed at >13 weeks' gestation remained consistently low (9.2%). In 2020, the highest percentage of abortions were performed by early medical abortion at 9 weeks' gestation (51.0%), followed by surgical abortion at 13 weeks' gestation (40.0%), surgical abortion at >13 weeks' gestation (6.7%), and medical abortion at >9 weeks' gestation (2.4%); all other methods were uncommon (<0.1%). Among those that were eligible (9 weeks' gestation), 63.9% of abortions were early medical abortions. In 2019, the most recent year for which PMSS data were reviewed for pregnancy-related deaths, four women died as a result of complications from legal induced abortion. INTERPRETATION: Among the 48 areas that reported data continuously during 2011-2020, overall decreases were observed during 2011-2020 in the total number, rate, and ratio of reported abortions. From 2019 to 2020, decreases also were observed in the total number and rate of reported abortions; however, a 2% increase was observed in the total abortion ratio. PUBLIC HEALTH ACTION: Abortion surveillance can be used to help evaluate programs aimed at promoting equitable access to patient-centered quality contraceptive services in the United States to reduce unintended pregnancies. |
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