Trends in Cervical Cancer Among Delivery-Related Discharges and its Impact on Maternal-Infant Birth Outcomes (United States, 1998-2009)

摘要: Objectives To estimate the national prevalence of cervical cancer (CCA) in women discharged from hospital after delivery, and to examine its associations with birth outcomes. Methods We did a retrospective cross-sectional analysis maternal discharges United States (1998-2009). used Nationwide Inpatient Sample (NIS) database identify stays for who gave birth. determined length stay, in-hospital mortality, ICD-9-CM codes CCA all outcomes interest. Multivariable logistic regression modeling was calculate adjusted odds ratios (AOR) 95% confidence intervals (CI) between feto-maternal outcome. Results In 12-year period 1998 2009, there were 8,387 delivery hospitalizations diagnosis, rate 1.8 per 100,000 (95% CI=1.6, 1.9). After adjusting potential confounders, associated increased morbidities including: anemia (AOR, 1.78, CI, 1.54-2.06), anxiety 1.95, 1.11-3.42), cesarean 1.67, 1.46-1.90), prolonged stay 1.51, 1.30-1.76), preterm 1.69, 1.46-1.97). Conclusion There is recent increase during pregnancy. severe morbidities. Interventions that promote safer sexual practice regular screening should be promoted widely among reproductive age effectively reduce pregnancy impact on health mother baby.