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April 2003, Vol 93, No. 4 | American Journal of Public Health 631-634
© 2003 American Public Health Association

RESEARCH AND PRACTICE

Magnitude of Maternal Morbidity During Labor and Delivery: United States, 1993–1997

Isabella Danel, MD, MS, Cynthia Berg, MD, MPH, Christopher H. Johnson, MS and Hani Atrash, MD

At the time this study was conducted, all of the authors were with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Isabella Danel, MD, MS, World Bank, MSN I7-700, 1818 H St NW, Washington, DC 20433 (e-mail: idanel{at}worldbank.org).

Objectives. This study sought to determine the prevalence of maternal morbidity during labor and delivery in the United States.

Methods. Analyses focused on National Hospital Discharge Survey data available for women giving birth between 1993 and 1997.

Results. The prevalence of specific types of maternal morbidity was low, but the burden of overall morbidity was high. Forty-three percent of women experienced some type of morbidity during their delivery hospitalization. Thirty-one percent (1.2 million women) had at least 1 obstetric complication or at least 1 preexisting medical condition.

Conclusions. Maternal morbidity during delivery is frequent and often preventable. Reducing maternal morbidity is a national health objective, and its monitoring is key to improving maternal health.




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