Identification of racial/ethnic disparities associated with severe maternal morbidity using the Arkansas All-Payer Claims Database (2013-2017).

ABSTRACT:

Objective

To evaluate the effect of maternal characteristics on the odds of severe maternal morbidity (SMM) through 42 days postpartum.

Study design

We conducted a retrospective observational study of 77 172 births using birth certificate and insurance claims data from the Arkansas All Payers Claims Database, years 2013-2017, to identify racial disparities associated with SMM for births between April 1, 2014, and November 19, 2017.

Methods

Multiple logistic regression was used to examine the effect of sociodemographic factors and clinical comorbidities on the odds of SMM among non-Hispanic white ("white"), non-Hispanic Black ("Black"), and Hispanic women.

Results

The rate of SMM was 227.41 per 10 000 births, with Black women (330 per 10 000 births; 95% CI: 296.

SUBMITTER: Rezaeiahari M 

PROVIDER: S-EPMC11388902 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature