Matthew K. Hensley, Melissa E. Bauer, Lindsay K. Admon, et al.<\/h3>\n\n\n\nJAMA. <\/em>2019;322(9):890-892. doi:10.1001\/jama.2019.9818<\/h3>\n\n\n\nResults<\/p>\n\n\n\n
From 63\u202f665\u202f593 hospitalizations in the NRD (2013-2016), there were 5\u202f957\u202f678 delivery hospitalizations with discharges in January through October, of which 32.5% were cesarean deliveries. There were 2905 deliveries complicated by sepsis (0.038%; 95% CI, 0.037%-0.040%); 49.8% (95% CI, 47.7%-52.0%) were complicated during delivery hospitalization and 50.3% (95% CI, 48.1%-52.4%) after delivery discharge. Sepsis readmissions occurred a mean of 13.6 (SD, 11.2) days after discharge from delivery hospitalization.<\/p>\n\n\n\n
Maternal sepsis episodes after delivery discharge, compared with during delivery hospitalization, occurred in women with fewer comorbidities (mean, 1.9 vs 2.6; difference, \u22120.7 [95% CI, \u22120.8 to \u22120.5]; P<\/em>\u2009<\u2009.001), were less frequently associated with cesarean deliveries (49.6% vs 63.7%; difference, \u221215.7% [95% CI, \u221219.2% to \u221212.1%]; P<\/em>\u2009<\u2009.001), had a higher percentage of acute kidney dysfunction (35.2% vs 23.9%; difference, 10.6% [95% CI, 7.3%-13.9%]; P<\/em>\u2009<\u2009.001), and had a lower percentage of genitourinary infection (39.8% vs 49.2%; difference, \u22127.5% [95% CI, \u221211.1% to \u22123.9%]; P<\/em>\u2009<\u2009.001) (Table 1<\/a>).<\/p>\n\n\n\nThere were 408 delivery hospitalizations (0.007%; 95% CI, 0.006%-0.007%) that were followed by maternal death; 74.4% (95% CI, 69.6%-78.6%) during delivery hospitalization and 25.6% (95% CI, 21.4%-30.4%) after delivery discharge (Table 2<\/a>). Overall, 95 (22.6%; 95% CI, 18.7%-27.1%) of the maternal deaths were sepsis-related; 17.3% (95% CI, 13.2%-22.4%) occurred during delivery hospitalization and 38.1% (95% CI, 29.0%-48.1%) occurred after delivery discharge.<\/p>\n\n\n\n![\"\"\/](\"https:\/\/cdn.jamanetwork.com\/ama\/content_public\/journal\/jama\/938177\/m_jld190036t1.png?Expires=2147483647&Signature=ncOVdDjj6WJfypymZlqOk3LJHSUj-zM9UqGXwKmOtee~EbE5bRVy7psbu3qLIWhHPnNrhzfp4nvzSVxAMSTZyrkWStOZzpTkJfwSbvlG~~~PtQmmcBBgPMgsFMf9c5Wq4Z09jCHE-nWvhChkQDk2pWcTcqvcv5paaSfiy0p2ZShhWqdZLiunQdoW5OptIsm8b-EZ0OQx7m9Kl-Bx5rwERrHsRZXnjl8xAVDLYs9F-rIGZCvDvJb6YJ~kIW2IK62r4gAC66PpVeSwZoVNuwcH00x7kcjhlCTizGQzkGG-00q4haOsZFhiKf43Hq-KGNtw7WPsvUb1GOAeE0o-xrRRHw__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA\")
<\/figure>\n","protected":false},"excerpt":{"rendered":"Research Letter September 3, 2019 Incide […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17740"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17740"}],"version-history":[{"count":3,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17740\/revisions"}],"predecessor-version":[{"id":17760,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17740\/revisions\/17760"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17740"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17740"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17740"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Results<\/p>\n\n\n\n
From 63\u202f665\u202f593 hospitalizations in the NRD (2013-2016), there were 5\u202f957\u202f678 delivery hospitalizations with discharges in January through October, of which 32.5% were cesarean deliveries. There were 2905 deliveries complicated by sepsis (0.038%; 95% CI, 0.037%-0.040%); 49.8% (95% CI, 47.7%-52.0%) were complicated during delivery hospitalization and 50.3% (95% CI, 48.1%-52.4%) after delivery discharge. Sepsis readmissions occurred a mean of 13.6 (SD, 11.2) days after discharge from delivery hospitalization.<\/p>\n\n\n\n
Maternal sepsis episodes after delivery discharge, compared with during delivery hospitalization, occurred in women with fewer comorbidities (mean, 1.9 vs 2.6; difference, \u22120.7 [95% CI, \u22120.8 to \u22120.5]; P<\/em>\u2009<\u2009.001), were less frequently associated with cesarean deliveries (49.6% vs 63.7%; difference, \u221215.7% [95% CI, \u221219.2% to \u221212.1%]; P<\/em>\u2009<\u2009.001), had a higher percentage of acute kidney dysfunction (35.2% vs 23.9%; difference, 10.6% [95% CI, 7.3%-13.9%]; P<\/em>\u2009<\u2009.001), and had a lower percentage of genitourinary infection (39.8% vs 49.2%; difference, \u22127.5% [95% CI, \u221211.1% to \u22123.9%]; P<\/em>\u2009<\u2009.001) (Table 1<\/a>).<\/p>\n\n\n\n There were 408 delivery hospitalizations (0.007%; 95% CI, 0.006%-0.007%) that were followed by maternal death; 74.4% (95% CI, 69.6%-78.6%) during delivery hospitalization and 25.6% (95% CI, 21.4%-30.4%) after delivery discharge (Table 2<\/a>). Overall, 95 (22.6%; 95% CI, 18.7%-27.1%) of the maternal deaths were sepsis-related; 17.3% (95% CI, 13.2%-22.4%) occurred during delivery hospitalization and 38.1% (95% CI, 29.0%-48.1%) occurred after delivery discharge.<\/p>\n\n\n\n Research Letter September 3, 2019 Incide […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17740"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17740"}],"version-history":[{"count":3,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17740\/revisions"}],"predecessor-version":[{"id":17760,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/17740\/revisions\/17760"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17740"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17740"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17740"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<\/figure>\n","protected":false},"excerpt":{"rendered":"