Miscarriage hospitalisations: a national population-based study of incidence and outcomes, 2005–2016

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dc.contributor.authorSan Lázaro Campillo, Indra
dc.contributor.authorMeaney, Sarah
dc.contributor.authorO'Donoghue, Keelin
dc.contributor.authorCorcoran, Paul
dc.date.accessioned2019-11-20T05:06:35Z
dc.date.available2019-11-20T05:06:35Z
dc.date.issued2019-05-09
dc.description.abstractBackground: Early miscarriage is one of the most common obstetric causes of maternal morbidity early in pregnancy. However, data concerning non-fatal complications among hospitalisations for early miscarriage are lacking. The aim of this study was to determine whether there were changes in the incidence, management and outcomes of early miscarriage hospitalisations between 2005 and 2016. Methods: This is a nationwide population-based study of 50,538 hospitalisations with a diagnosis of early miscarriage of all acute maternity hospitals in Ireland. Electronic health records were retrieved using the Hospital In-Patient Enquiry database. Main outcomes include the incidence rates of hospitalisations and management for early miscarriage, and rates of blood transfusion and length of stay over 2 days. Results: Overall, 50,538 hospitalisations for early miscarriage were identified from 2005 to 2016. The risk of hospitalisation decreased from 70.6 per 1000 deliveries (95% CI 68.4 to 72.8) in 2005 to 49.7 per 1000 deliveries (95% CI 49.7 to 53.3) in 2016; however, the risk of blood transfusion increased over time (ratio: 2.0; 95% CI 1.6 to 2.4). Women of advanced maternal age had a higher risk of hospitalisations. There were less blood transfusions among women who undertook medical treatment (ratio: 0.3; 95% CI 0.1 to 0.5), but they had an increased risk of staying over 2 days at the hospital (ratio: 1.5; 95% CI 1.2 to 1.9) compared to evacuation of retained products of conception. Conclusions: Hospitalisation rates for early miscarriage decreased over time with an increase in risk of blood transfusion and an extended length of stay at the hospital. Women who underwent medical management did not have as many blood transfusions as those undergoing surgical management. However, they had an increased risk of an extended stay. Research is needed to explore both outpatient and inpatient settings in order to improve the management and care provided.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid51en
dc.identifier.citationCampillo, I.S.L., Meaney, S., O’Donoghue, K. and Corcoran, P., 2019. Miscarriage hospitalisations: a national population-based study of incidence and outcomes, 2005–2016. Reproductive health, 16(1), (51). DOI:10.1186/s12978-019-0720-yen
dc.identifier.doi10.1186/s12978-019-0720-yen
dc.identifier.eissn1742-4755
dc.identifier.endpage8en
dc.identifier.issued1en
dc.identifier.journaltitleReproductive Healthen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9109
dc.identifier.volume16en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urihttps://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-019-0720-y
dc.rights© The Author(s). 2019en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stateden
dc.subjectMiscarraigeen
dc.subjectHospitalisationsen
dc.subjectRatesen
dc.subjectMorbidityen
dc.titleMiscarriage hospitalisations: a national population-based study of incidence and outcomes, 2005–2016en
dc.typeArticle (peer-reviewed)en
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