Risk Factors for Prolonged Postpartum Length of Stay Following Cesarean Delivery

Am J Perinatol. 2015 Jul;32(9):825-32. doi: 10.1055/s-0034-1543953. Epub 2015 Jan 16.

Abstract

Objective: This study aims to identify risk factors for prolonged postpartum length of stays (LOS) after cesarean delivery (CD).

Study design: Patients undergoing CD were sourced from a multicenter registry of 19 academic centers between 1999 and 2002 (n = 57,067). Prolonged postpartum LOS was defined as a hospitalization duration ≥ 90th centile. Maternal, antepartum, perioperative, and neonatal variables were compared between women with and without prolonged postpartum LOS.

Results: The 90th centile for postpartum LOS was 4 days, with 14,954 women experiencing prolonged postpartum LOS. Women with perioperative complications had the highest independent risk for a prolonged postpartum LOS: ileus (adjusted odds ratio [aOR] = 12.28; 95% confidence interval CI = 8.98-16.8); endometritis (aOR = 10.45; 95% CI = 9.51-11.5), and wound complications (aOR = 5.49; 95% CI = 4.54-6.63). Several antepartum, perioperative, and neonatal variables were associated with a prolonged postpartum LOS.

Conclusion: Perioperative complications had the highest risk for prolonged LOS after CD. Strategies to reduce perioperative complications are needed to decrease the health care burden of prolonged post-CD LOS.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Cesarean Section / adverse effects*
  • Cohort Studies
  • Endometritis / epidemiology*
  • Female
  • Humans
  • Length of Stay / statistics & numerical data*
  • Odds Ratio
  • Postoperative Complications*
  • Postpartum Period*
  • Pregnancy
  • Risk Factors
  • Young Adult