| Title |
Predictors and Adverse Pregnancy Outcomes Associated with Antepartum Discharge Against Medical Advice
|
|---|---|
| Published in |
Maternal and Child Health Journal, June 2013
|
| DOI | 10.1007/s10995-013-1288-8 |
| Pubmed ID | |
| Authors |
Brownsyne Tucker Edmonds, Corinne Ahlberg, Katie McPherson, Sindhu Srinivas, Scott Lorch |
| Abstract |
To determine predictors and pregnancy outcomes associated with antepartum discharge against medical advice (AMA D/C). Retrospective cohort study of state-level maternal and infant hospital discharge data linked to vital statistics data for antepartum admissions in California from 1995 to 2005. (N = 203,250). After adjusting for comorbid conditions, the odds of AMA D/C for Black women were twice that of white women (OR = 2.00, 95% CI 1.70-2.35). Publicly insured women had 3.5 times the odds of AMA D/C compared to privately insured women (OR = 3.54, 95% CI 3.02-4.15). AMA D/C was also higher among substance abusers and women with mental illness (OR = 1.96, 95% CI 1.43-2.67 and OR = 4.45, 95% CI 3.81-5.21 respectively). Most notably, AMA D/C tripled the odds of fetal death in patients admitted for pregnancy-induced hypertension (OR = 3.08, 95% CI 1.36-6.98) and increased the odds of neonatal morbidity (respiratory distress syndrome OR = 1.35, 95% CI 1.07-1.70 and small-for-gestational-age OR = 1.47, 95% CI 1.15-1.89) in patients admitted with preterm premature rupture of membranes. Vulnerable populations and patients with comorbid medical and mental illnesses are at increased risk for AMA D/C and its associated adverse pregnancy outcomes. Targeted interventions and resources to support at-risk populations are needed. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 50% |
| Unknown | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 93 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 1% |
| Unknown | 92 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 15 | 16% |
| Researcher | 14 | 15% |
| Student > Master | 14 | 15% |
| Student > Bachelor | 10 | 11% |
| Student > Doctoral Student | 8 | 9% |
| Other | 10 | 11% |
| Unknown | 22 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 31 | 33% |
| Psychology | 14 | 15% |
| Nursing and Health Professions | 11 | 12% |
| Social Sciences | 4 | 4% |
| Agricultural and Biological Sciences | 2 | 2% |
| Other | 5 | 5% |
| Unknown | 26 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 May 2014.
All research outputs
#18,756,367
of 23,906,448 outputs
Outputs from Maternal and Child Health Journal
#1,618
of 2,039 outputs
Outputs of similar age
#144,502
of 199,940 outputs
Outputs of similar age from Maternal and Child Health Journal
#26
of 34 outputs
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