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Table 5 Obstetric and neonatal outcomes among women with and without affective-psychosis during delivery hospitalizations (N=23,507,597)

From: Adverse obstetric and neonatal outcomes complicated by psychosis among pregnant women in the United States

Obstetric and neonatal outcomes Women OR (95% CI)
With affective-psychosis (N = 152,727) Without psychosis (N = 23,343,336) Unadjusted Adjusteda Adjustedb
n % n %
Death during hospitalizations ≤10 c 0.01 1,468 0.01 1.96 (0.72, 5.29) 1.49 (0.47, 4.66) 1.13 (0.34, 3.74)
Cesarean delivery 58,057 38.01 7,718,434 33.06 1.24 (1.21, 1.28) 1.33 (1.29, 1.36) 1.27 (1.24, 1.30)
Length of stay, mean (SE), day
 Vaginal birth 3.09 (0.10) 2.53 (0.01) NA NA NA
 Cesarean delivery 4.28 (0.07) 3.55 (0.02) NA NA NA
Length of stay >6 day
 Vaginal birth 219 0.14 9,526 0.04 4.00 (2.87, 5.58) 3.98 (2.84, 5.56) 3.10 (2.15, 4.47)
 Cesarean delivery 4,329 2.83 245,416 1.05 2.45 (2.26, 2.66) 2.41 (2.22, 2.62) 2.11 (1.94, 2.29)
Induction of labor 31,099 20.36 4,247,666 18.20 1.14 (1.10, 1.18) 1.06 (1.02, 1.10) 1.05 (1.02, 1.09)
Antepartum hemorrhage 3,807 2.49 356,821 1.53 1.65 (1.53, 1.77) 1.67 (1.55, 1.79) 1.22 (1.14, 1.31)
 Placental abruption 2,835 1.86 246,768 1.06 1.76 (1.69, 1.84) 1.72 (1.58, 1.87) 1.20 (1.11, 1.31)
Postpartum hemorrhage 5,039 3.30 654,043 2.80 1.18 (1.10, 1.27) 1.21 (1.12, 1.30) 1.17 (1.09, 1.26)
Spontaneous delivery <37-week gestation 18,506 12.12 1,692,651 7.25 1.78 (1.71, 1.85) 1.75 (1.68, 1.82) 1.41 (1.36, 1.46)
Stillbirth 1,627 1.07 153,045 0.66 1.63 (1.46, 1.82) 1.61 (1.44, 1.80) 1.35 (1.20, 1.51)
Premature rupture of membranes 7,701 5.04 904,679 3.88 1.32 (1.24, 1.40) 1.31 (1.23, 1.39) 1.22 (1.14, 1.29)
Excessive fetal growth 3,628 2.38 609,142 2.61 0.91 (0.84, 0.98) 0.93 (0.86, 1.01) 1.08 (1.00, 1.16)
Poor fetal growth 6,229 4.08 507,269 2.17 1.92 (1.80, 2.04) 1.76 (1.66, 1.87) 1.27 (1.19, 1.35)
Fetal distress 26,240 17.18 3,342,430 14.32 1.24 (1.19, 1.29) 1.21 (1.17, 1.26) 1.14 (1.10, 1.18)
Fetal abnormalities 4,067 2.66 337,978 1.45 1.86 (1.72, 2.02) 1.83 (1.69, 1.98) 1.49 (1.38, 1.61)
  1. Abbreviations: SE standard error, OR odds ratio, CI confidence interval
  2. aAdjusted for maternal age (continuous), race, median household income quartiles, hospital location, hospital region, and year
  3. bFurther adjusted for ever smoking, alcohol/substance abuse, and pregnancy-related hypertension
  4. cHCUP privacy protection requirements do not allow the reporting of data where there are less than or equal to 10 individual records in a given cell