Publications by authors named "Jessica Tsipe Angelson"
Severe maternal morbidity contributed by obstetric hemorrhage: Maryland, 2020-2022.
Am J Obstet Gynecol MFM
January 2025
Background: Obstetric hemorrhage is the leading cause of maternal mortality and severe maternal morbidity (SMM) in Maryland and nationally. Currently, through a quality collaborative, the state is implementing the Alliance for Innovation on Maternal Health (AIM) patient safety bundle on obstetric hemorrhage.
Objective: To describe SMM events contributed by obstetric hemorrhage and their preventability in Maryland.
Background: Perinatal mental health conditions and substance use are leading causes, often co-occurring, of pregnancy-related and pregnancy-associated deaths in the United States. This study compares odds of hospitalization with a mental health condition or substance use disorder or both during the first year postpartum between patients with and without severe maternal morbidity (SMM) during delivery hospitalization.
Methods: Data are from the Maryland's State Inpatient Database and include patients with a delivery hospitalization during 2016-2018 (n = 197,749).
Article Synopsis
- Perinatal mental health conditions and substance use disorders are significant factors contributing to pregnancy-related deaths in the U.S., often occurring together.
- This study analyzed data from over 197,000 delivery hospitalizations in Maryland from 2016-2018 to compare hospitalization rates for mental health issues and substance use disorders among women who experienced severe maternal morbidity (SMM) versus those who did not.
- Results show that women with SMM had significantly higher odds of hospitalization within the year postpartum for mental health conditions (3.7 times), substance use disorders (2.7 times), and both issues simultaneously (3.0 times).