Year: 2023
Type: article
Abstract: We assessed whether neighborhood socioeconomic disadvantage, as measured by the Area Deprivation Index (ADI), was associated with an increased risk of postpartum readmission. This is a secondary analysis from nuMoM2b (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be), a prospective cohort of nulliparous pregnant individuals from 2010 to 2013. The exposure was the ADI in quartiles, and the outcome was postpartum readmission; Poisson regression was used. Among 9,061 assessed individuals, 154 (1.7%) were readmitted postpartum within 2 weeks of delivery. Individuals living with the most neighborhood deprivation (ADI quartile 4) were at increased risk of postpartum readmission compared with those living with the lowest neighborhood deprivation (ADI quartile 1) (adjusted risk ratio 1.80, 95% CI 1.11-2.93). Measures of community-level adverse social determinants of health, such as the ADI, may inform postpartum care after delivery discharge.
Source: Obstetrics and Gynecology
Institutions: Northwestern University, University of Pittsburgh, University of California, Irvine, University of Utah, Indiana University Indianapolis, The Ohio State University, The University of Texas Medical Branch at Galveston, Case Western Reserve University, Columbia University, University of Pennsylvania
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
Funders: University of Pennsylvania, Northwestern University, University of Pittsburgh, Case Western Reserve University, National Institutes of Health, University of California, Irvine, National Center for Advancing Translational Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Indiana Clinical and Translational Sciences Institute, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk , Institute for Clinical and Translational Science, Adverse Outcomes in Nulliparous Pregnancies: The Ohio Collaborative, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Prevention of Preterm Birth in high Risk Nulliparous Patients, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Institute for Clinical and Translational Science, Dissecting the Genetic Etiology of Preterm Birth in Nulliparous Women
OpenAlex ID: W4362692328