{
    "abstract": "The objective of this study was to examine whether obesity without preexisting or gestational comorbidities is associated with postpartum hospital use (PHU).\nWe studied 2016 to 2018 birth certificate and discharge data on 178,729 New York City births without International Classification of Diseases, Tenth Revision (ICD-10) codes at delivery for diabetes; hypertension; placental disease; anemia; thyrotoxicosis; bariatric surgery; and pulmonary, cardiac, renal, bleeding, autoimmune, digestive, neuromuscular, mental, or substance-use disorders. We defined PHU as \u22651 readmission\u00a0or emergency department visit within 30\u2009days of delivery discharge. We used ICD-10 codes to specify postpartum hypertension, infection, or hemorrhage during PHU (i.e., \"cause-specific PHU\") because these are leading mortality causes. We examined associations between prepregnancy BMI and PHU using multivariable logistic regression.\nPHU incidence was 3.7% for those with normal weight, 5.1% for those with overweight, 6.3% for those with class 1 or 2 obesity, and 9.1% for those with class 3 obesity. A positive association persisted after adjustment. Obesity was associated with cause-specific PHU of postpartum hypertension (adjusted odds ratio [aOR]: 2.2, 95% confidence limits [CL]: 1.8-2.7, normal weight referent) and wound infection (aOR: 1.5, 95% CL: 1.2-1.8), but not hemorrhage (aOR: 0.9, 95% CL: 0.7-1.3), mastitis, or genitourinary infection (aOR: 1.1, 95% CL: 0.9-1.3).\nAmong individuals without other comorbidities, elevated BMI was associated with PHU. Findings can inform obstetric management to reduce morbidity during the critical fourth trimester.",
    "authors": [
        {
            "affiliation": "Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.\nThe Raquel and Jaime Gilinski Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.\nBlavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.",
            "firstname": "Kimberly B",
            "initials": "KB",
            "lastname": "Glazer"
        },
        {
            "affiliation": "Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.",
            "firstname": "Teresa",
            "initials": "T",
            "lastname": "Janevic"
        },
        {
            "affiliation": "Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.",
            "firstname": "Natalie",
            "initials": "N",
            "lastname": "Boychuk"
        },
        {
            "affiliation": "Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.",
            "firstname": "Natalia",
            "initials": "N",
            "lastname": "Egorova"
        },
        {
            "affiliation": "School of Public Health, University of Washington, Seattle, Washington, USA.",
            "firstname": "Paul",
            "initials": "P",
            "lastname": "Hebert"
        },
        {
            "affiliation": "Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA.\nUniversity of Paris, Centre for Research in Epidemiology and Statistics (CRESS), Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOP\u00e9), National Institute of Health and Medical Research (INSERM), French National Research Institute for Agriculture, Food and Environment (INRA), Paris, France.",
            "firstname": "Jennifer",
            "initials": "J",
            "lastname": "Zeitlin"
        },
        {
            "affiliation": "Department of Obstetrics & Gynecology, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.\nLeonard Davis Institute of Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.",
            "firstname": "Elizabeth A",
            "initials": "EA",
            "lastname": "Howell"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024 The Obesity Society.",
    "doi": "10.1002/oby.24167\n10.1016/j.annepidem.2019.12.012\n10.4158/EP161688.PS",
    "journal": "Obesity (Silver Spring, Md.)",
    "keywords": [],
    "methods": null,
    "publication_date": "2024-12-23",
    "pubmed_id": "39711200\n32487284\n35857661\n20641146\n37082834\n22905677\n34734494\n28716548\n32128581\n29016513\n27829570\n37879386\n34580022\n28937843\n32769656\n21617569\n33017244\n20669500\n7548341\n15229333\n26310539\n20087875\n32005568\n29501220\n22157298\n31348008\n27967229\n35201671\n22485140\n31007613\n36695056\n14726171\n31089578\n19582986\n33298413\n33516136\n24211478\n24956550\n28672754\n37491437\n29346134\n21921570\n32800008\n28062155",
    "results": "PHU incidence was 3.7% for those with normal weight, 5.1% for those with overweight, 6.3% for those with class 1 or 2 obesity, and 9.1% for those with class 3 obesity. A positive association persisted after adjustment. Obesity was associated with cause-specific PHU of postpartum hypertension (adjusted odds ratio [aOR]: 2.2, 95% confidence limits [CL]: 1.8-2.7, normal weight referent) and wound infection (aOR: 1.5, 95% CL: 1.2-1.8), but not hemorrhage (aOR: 0.9, 95% CL: 0.7-1.3), mastitis, or genitourinary infection (aOR: 1.1, 95% CL: 0.9-1.3).",
    "title": "Obesity and postpartum hospital use among individuals without additional medical comorbidities.",
    "xml": "<Element 'PubmedArticle' at 0x7885063618a0>"
}