Clinical characteristics and outcomes of hospitalized women giving birth with and without COVID-19
JAMA Jan 20, 2021
Jering KS, Claggett BL, Cunningham JW, et al. - The clinical characteristics and outcomes of hospitalized women who gave birth with and without COVID-19 were compared. Using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) codes, researchers identified women giving birth and discharged between April 1 and November 23, 2020, within the Premier Healthcare Database, an all-payer database encompassing nearly 20% of US hospitalizations. Over the 8 months of the study, 406,446 women were hospitalized for childbirth; of these, 6,380 (1.6%) had COVID-19. Observations revealed low absolute rates of death and adverse events in those diagnosed with COVID-19, as might be expected in a young population in whom the disease may have been identified incidentally. Although there were small absolute risk differences, considerably higher in-hospital death, VTE, and preeclampsia were noted among women who gave birth with COVID-19 than in those without COVID-19. The present observations confirm previously described mortality rates and suggest a higher risk of VTE in women diagnosed with COVID-19 in the setting of childbirth.
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