Cardiomyopathy and other myocardial disorders among hospitalizations for pregnancy in the United States: 2004-2006.

Abstract:

OBJECTIVES:To estimate the rate of pregnancy hospitalizations for women with two groups of myocardial disorders, cardiomyopathy and other myocardial disorders, and report the rate of severe obstetric complications among these hospitalizations in delivery and postpartum periods. METHODS:We performed a cross-sectional study using 14,323,731 hospitalizations for pregnancy identified from the 2004-2006 Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project. We reported rates of pregnancy hospitalizations with cardiomyopathy and other myocardial disorders per 1,000 deliveries and rates of severe complications per 1,000 hospitalizations during delivery and postpartum periods by myocardial disease status. We compared these rates by using chi2 tests with adjustment of P values for multiple comparisons using the Bonferroni method. RESULTS:Among all pregnancy hospitalizations, the overall prevalence of hospitalizations with myocardial disorders was 1.33 per 1,000 deliveries. The rate of pregnancy hospitalizations with cardiomyopathy was 0.46 per 1,000 deliveries (0.18 for apparent peripartum cardiomyopathy and 0.28 for other cardiomyopathies). The rate of pregnancy hospitalizations with other myocardial disorders was 0.87 per 1,000 deliveries. Myocardial disorders were rare during delivery hospitalizations (0.01%) but not uncommon among postpartum hospitalizations (4.2%). Among hospitalizations with myocardial disorders, the rate of severe complications ranged from 13.2 for acute myocardial infarction to 128.6 for adult respiratory distress syndrome and from 10.7 for pulmonary edema to 193.0 for fluid and electrolyte disorders per 1,000 delivery and postpartum hospitalizations, respectively. Among hospitalizations without myocardial disorders, the rate of severe complications ranged from 0.07 to 1.9 and from 0.4 to 65.5 for cardiac arrest and for fluid and electrolyte disorders per 1,000 hospitalizations, in delivery and postpartum periods, respectively. CONCLUSION:Although only a minority of hospitalizations for cardiomyopathy are consistent with peripartum cardiomyopathy, cardiomyopathy and other myocardial disorders are important contributors to severe obstetric complications. LEVEL OF EVIDENCE:III.

journal_name

Obstet Gynecol

authors

Kuklina EV,Callaghan WM

doi

10.1097/AOG.0b013e3181c4ee8c

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

93-100

issue

1

eissn

0029-7844

issn

1873-233X

pii

00006250-201001000-00016

journal_volume

115

pub_type

杂志文章
  • A normal ultrasound does not obviate the need for amniocentesis in patients with elevated serum alpha-fetoprotein.

    abstract::Elevated levels of maternal serum alpha-fetoprotein (MSAFP) will identify a population at increased risk for specific congenital malformations, which are accurately diagnosed by amniotic fluid AFP and acetylcholinesterase. The risk for spontaneous abortion related to amniocentesis, combined with increasing confidence ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Drugan A,Zador IE,Syner FN,Sokol RJ,Sacks AJ,Evans MI

    更新日期:1988-10-01 00:00:00

  • Chronic plasma cell cervicitis simulating a cervical malignancy: a case report.

    abstract:BACKGROUND:Only one case of plasma cell cervicitis, a rare variant of chronic cervicitis, has been reported. We report a second case and present data supporting the detection of human papillomavirus (HPV) outside of epithelial tissues. CASE:A 67-year-old woman was found to have a large cervical tumor. Extensive diagno...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Doherty MG,Van Dinh T,Payne D,Tyring SK,Hannigan EV

    更新日期:1993-10-01 00:00:00

  • Hormonal treatment of an endometrial stromal nodule followed by local excision.

    abstract:BACKGROUND:Endometrial stromal nodule is a rare subtype of endometrial stromal tumor. Although such nodules are benign, hysterectomy has been considered the treatment of choice, because evaluation of the margin is required for diagnosis. The similarity between low-grade stromal sarcoma and stromal nodule suggests that ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00332-9

    authors: Schilder JM,Hurd WW,Roth LM,Sutton GP

    更新日期:1999-05-01 00:00:00

  • Gestational Trophoblastic Disease: Current Evaluation and Management.

    abstract::This review summarizes the current evaluation and management of gestational trophoblastic disease, including evacuation of hydatidiform moles, surveillance after evacuation of hydatidiform mole and the diagnosis and management of gestational trophoblastic neoplasia. Most women with gestational trophoblastic disease ca...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004240

    authors: Soper JT

    更新日期:2021-02-01 00:00:00

  • Modified Open Laparoscopy Using a 5-mm Laparoscope.

    abstract:BACKGROUND:In an effort to minimize injuries associated with closed laparoscopic entry, many surgeons use a 10-mm standard open laparoscopy technique. Disadvantages of this open technique are that it requires a larger incision, fascial sutures, and does not always achieve an airtight seal. Although 5-mm laparoscopics w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001202

    authors: Pryor KP,Hurd WW

    更新日期:2016-03-01 00:00:00

  • Preovulatory Granulosa Cells and Steroidogenesis. An Ultrastructural Study in the Rhesus Monkey.

    abstract::Granulosa cells of developing preovulatory follicles from ovaries of 6 rhesus monkeys were studied with the electron microscope. They did not contain the cytoplasmic structures known to be associated with steroidogenesis. Such structures were found only in the luteinized granulosa cells of atretic follicles in the pr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Amin H,Richart R,Brinson AO

    更新日期:1976-05-01 00:00:00

  • The effect of magnesium sulfate on fetal heart rate baseline variability.

    abstract::Variability of the baseline fetal heart rate is correlated with good fetal outcome, and loss of baseline variability has been observed as a sign of fetal distress. Central nervous system depressing drugs may also decrease fetal heart rate variability, and thus recognition of the effect of medication on the baseline fe...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Babaknia A,Niebyl JR

    更新日期:1978-01-01 00:00:00

  • Station and cervical dilation at epidural placement in predicting cesarean risk.

    abstract:OBJECTIVE:To compare station and cervical dilation at the time of epidural placement for predicting cesarean delivery risk. METHODS:This prospective cohort study included 275 women in labor with live, singleton fetuses at term in vertex presentations. We excluded women with preeclampsia or previous cesarean deliveries...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00370-6

    authors: Holt RO,Diehl SJ,Wright JW

    更新日期:1999-02-01 00:00:00

  • Mesonephroid carcinoma of the ovary. A clinicopathologic, histochemical, and electron microscopic study.

    abstract::Eighteen patients with mesonephroid ovarian carcinoma were investigated. Typical findings for the mesonephroid tumors were abundant extracellular an some intracellular neutral mucin mixed with sulfate and carboxyl groups, and large amounts of glycogen, especially in clear cells. The latter observation is considered to...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Klemi PJ,Grönroos M

    更新日期:1979-04-01 00:00:00

  • Thermoregulation during aerobic exercise in pregnancy.

    abstract::To characterize maternal thermal balance during pregnancy, the authors recorded the thermal response to moderate weight bearing exercise stress in four aerobically conditioned pregnant women. Studies were performed in a climate-controlled environment in each trimester of pregnancy and postpartum after modifying the ex...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Jones RL,Botti JJ,Anderson WM,Bennett NL

    更新日期:1985-03-01 00:00:00

  • The risk of repeating low birth weight and the role of prenatal care.

    abstract:OBJECTIVE:To estimate the influence of adequacy of prenatal care and other known risk factors on the risk of repeating low birth weight (LBW) (less than 2500 g). METHODS:This was a retrospective cohort study of women having two births in Washington state during 1984-1990, as recorded using linked birth certificate rec...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Raine T,Powell S,Krohn MA

    更新日期:1994-10-01 00:00:00

  • Cortical blindness and Anton syndrome in a patient with obstetric hemorrhage.

    abstract:BACKGROUND:Cortical blindness is characterized by loss of vision in the presence of intact anterior visual pathways. Anton syndrome, a form of anosognosia, is a rare complication of cortical blindness involving compromise of the visual association centers, with resulting patient denial of blindness. Both syndromes have...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00718-7

    authors: Argenta PA,Morgan MA

    更新日期:1998-05-01 00:00:00

  • Obstetric-gynecologic academic manpower--1986.

    abstract::Full-time faculty numbers in academic departments of obstetrics-gynecology have resumed growth in the last three years, and now average 18.3 per department. Women are represented in a larger proportion than among practicing specialists. Faculty subspecialists are increasing in numbers, but their trend is toward practi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Pearse WH,Fielden JG,Sherline DM

    更新日期:1987-09-01 00:00:00

  • Significance of polymicrobial bacterial superinfection in the therapy of gonococcal endometritis-salpingitis-peritonitis.

    abstract::The application of sophisticated anaerobic technology coupled with culdocentesis has radically altered out concepts of endometritis-salpingitis-peritonitis (ESP). The demonstration of a polymicrobial predominantly anaerobic peritonitis in selected cases of ESP polarized conceptual thought into gonococcal and nongonoco...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00006250-198003001-00039

    authors: Monif GR

    更新日期:1980-05-01 00:00:00

  • Fetal acidemia associated with regional anesthesia for elective cesarean delivery.

    abstract:OBJECTIVE:To determine the prevalence, magnitude, and type of fetal acidemia associated with contemporary obstetric anesthetic techniques. METHODS:Umbilical artery blood gases were obtained in 1601 singleton pregnancies delivered by elective cesarean. RESULTS:General anesthesia was used in 371 (23%) women, epidural i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)p4401-9

    authors: Roberts SW,Leveno KJ,Sidawi JE,Lucas MJ,Kelly MA

    更新日期:1995-01-01 00:00:00

  • Evaluation of the 1977 CREOG in-training examination.

    abstract::Questionnaires dealing with the 1977 in-training examination for residents in obstetrics and gynecology were sent to residency directors and residents. More than 70% were returned. Responses indicated a generally positive view of the examination, especially the multiple-choice questions (MCQs). There was strong suppor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Holzman GB,Bridgham RG,Easterling WE Jr

    更新日期:1980-01-01 00:00:00

  • Persistent placenta increta: a complication of conservative management of presumed placenta accreta.

    abstract:BACKGROUND:Recent reports have advocated conservative management rather than hysterectomy for placenta increta and its related conditions, placenta accreta and percreta. We report an unusual case of placenta increta in which initial conservative therapy for a presumed placenta accreta failed and hysterectomy was perfor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00121-4

    authors: Davis JD,Cruz A

    更新日期:1996-10-01 00:00:00

  • Poor perinatal outcome associated with retained cerclage in patients with premature rupture of membranes.

    abstract:OBJECTIVE:To evaluate the role of immediate cerclage removal versus retention in patients experiencing premature rupture of the membranes remote from term (PROM). METHODS:Thirty patients with prophylactic cerclage experiencing PROM at 24-32 weeks were managed expectantly after either immediate removal in 20 (67%) or r...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ludmir J,Bader T,Chen L,Lindenbaum C,Wong G

    更新日期:1994-11-01 00:00:00

  • The safety of early postpartum discharge: a review and critique.

    abstract:OBJECTIVE:To determine the effect of early postpartum discharge (less than 48 hours after vaginal birth or 96 hours after cesarean delivery) on maternal and neonatal complications, maternal concerns, patient satisfaction, and cost savings. DATA SOURCES:We performed a MEDLINE search of English-language journals for per...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析

    doi:10.1016/S0029-7844(97)00405-5

    authors: Grullon KE,Grimes DA

    更新日期:1997-11-01 00:00:00

  • ACOG Committee Opinion No. 731 Summary: Group Prenatal Care.

    abstract::Individual prenatal care is intended to prevent poor perinatal outcomes and provide education to women throughout pregnancy, childbirth, and the postpartum period through a series of one-on-one encounters between a woman and her obstetrician or other obstetric care provider. Concerns regarding increasing health care c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000002526

    authors:

    更新日期:2018-03-01 00:00:00

  • A trial of prophylactic cefamandole in extended gynecologic surgery.

    abstract::A double-blind randomized trial of antibiotic prophylaxis was performed with 49 patients undergoing extended pelvic surgery for adenocarcinoma of the endometrium. In this series infections of the Hemovac drain site(s) were most common (8 of 10 infections); only 1 serious infection, pelvic cellulitis, occurred. Short-t...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Creasman WT,Hill GB,Weed JC Jr,Gall SA

    更新日期:1982-03-01 00:00:00

  • Hysteroscopic morcellation compared with electrical resection of endometrial polyps: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate whether hysteroscopic morcellation or bipolar electrosurgical resection is more favorable for removing endometrial polyps in an office setting in terms of feasibility, speed, pain, and acceptability. METHODS:A multicenter, single-blind, randomized, controlled trial of office hysteroscopic morcell...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0000000000000187

    authors: Smith PP,Middleton LJ,Connor M,Clark TJ

    更新日期:2014-04-01 00:00:00

  • Successful treatment with recombinant factor VIIa for intractable bleeding at pelvic surgery.

    abstract:BACKGROUND:Postoperative bleeding may be complicated by failure to identify the site of bleeding, multiple bleeding points, and persistent hemorrhage despite surgical intervention. CASE:Activated recombinant factor VII was used successfully in a patient with life-threatening postsurgical bleeding after resection of tw...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Daniloś J,Goral A,Paluszkiewicz P,Przesmycki K,Kotarski J

    更新日期:2003-06-01 00:00:00

  • Storage of newborn stem cells for future use.

    abstract::Human placental cord blood contains a large number of hematopoietic progenitor cells, which could be used as a source of stem cells for the treatment of hematologic disorders and malignancies. Advantages of cord blood use include noninvasive collection, low risk for viral infection, and immunologic naivete. Cord blood...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/S0029-7844(96)00436-X

    authors: Wiley JM,Kuller JA

    更新日期:1997-02-01 00:00:00

  • Association of Pharmacist Prescription of Hormonal Contraception With Unintended Pregnancies and Medicaid Costs.

    abstract:OBJECTIVE:To estimate unintended pregnancies averted and the cost effectiveness of pharmacist prescription of hormonal contraception. METHODS:A decision-analytic model was developed to determine the cost effectiveness of expanding the scope of pharmacists to prescribe hormonal contraception compared with the standard ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003265

    authors: Rodriguez MI,Hersh A,Anderson LB,Hartung DM,Edelman AB

    更新日期:2019-06-01 00:00:00

  • Prevention of bone mineral loss in postmenopausal women by norethisterone.

    abstract::The effect of norethisterone on bone mineral metabolism was examined in 43 postmenopausal women. A significant decline in serum calcium, phosphate, and alkaline phosphatase in urinary calcium/creatinine ratio and in tubular maximum reabsorption of phosphate was demonstrated. There was no alteration in urinary hydroxyp...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Abdalla HI,Hart DM,Lindsay R,Leggate I,Hooke A

    更新日期:1985-12-01 00:00:00

  • Ectopic pregnancy risk with assisted reproductive technology procedures.

    abstract:OBJECTIVE:To assess the ectopic pregnancy risk among women who conceived with assisted reproductive technology (ART) procedures. METHODS:The ectopic rate for ART pregnancies was calculated from population-based data of pregnancies conceived with ART in U.S. clinics in 1999-2001. Variation in ectopic risk by patient an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000196503.78126.62

    authors: Clayton HB,Schieve LA,Peterson HB,Jamieson DJ,Reynolds MA,Wright VC

    更新日期:2006-03-01 00:00:00

  • Committee Opinion No 705 Summary: Mental Health Disorders In Adolescents.

    abstract::Mental health disorders in adolescence are a significant problem, relatively common, and amenable to treatment or intervention. Obstetrician-gynecologists who see adolescent patients are highly likely to see adolescents and young women who have one or more mental health disorders. Some of these disorders may interfere...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000002153

    authors:

    更新日期:2017-07-01 00:00:00

  • Comparison of adolescent and young adult self-collected and clinician-collected samples for human papillomavirus.

    abstract:OBJECTIVE:To examine the concordance between self-collected and clinician-collected samples for human papillomavirus (HPV) DNA. METHODS:Sexually active adolescent and young adult women aged 14-21 years (N = 101) were enrolled in a prospective cohort study of HPV testing. Participants self-collected vaginal samples for...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000124569.61462.8d

    authors: Kahn JA,Slap GB,Huang B,Rosenthal SL,Wanchick AM,Kollar LM,Hillard PA,Witte D,Groen P,Bernstein DI

    更新日期:2004-05-01 00:00:00

  • Uterine suspension through the laparoscope.

    abstract::We present a series of 20 patients who underwent uterine suspension performed through a laparoscope, as part of conservative treatment for infertility and pelvic pain. The operative technique is easily mastered by a skilled laparoscopist who is prepared to deal with intra- or postoperative complications. Avulsion of t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-197805000-00011

    authors: Mann WJ,Stenger VG

    更新日期:1978-05-01 00:00:00