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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