The Role of Obstetrics/Gynecology Hospitalists in Reducing Maternal Mortality

Obstet Gynecol Clin North Am. 2015 Sep;42(3):463-75. doi: 10.1016/j.ogc.2015.05.005. Epub 2015 Jul 16.

Abstract

The United States experienced a 6.1% annual increase in the maternal death rate from 2000 to 2013. Maternal deaths from hemorrhage and complications of preeclampsia are significant contributors to the maternal death rate. Many of these deaths are preventable. By virtue of their continuous care of laboring patients, active involvement in hospital safety initiatives, and immediate availability, obstetric hospitalists are uniquely positioned to evaluate patients, initiate care, and coordinate a multidisciplinary effort. In cases of significant maternal hemorrhage, hypertensive crisis, and acute pulmonary edema, the availability of an obstetrics hospitalist may facilitate improved patient safety and fewer maternal deaths.

Keywords: Hypertensive crisis; Maternal morbidity; Maternal mortality; OB/GYN hospitalist; Postpartum hemorrhage; Pregnancy-associated hypertension; Pulmonary edema.

Publication types

  • Review

MeSH terms

  • Clinical Protocols
  • Continuity of Patient Care / organization & administration
  • Female
  • Gynecology / methods*
  • Gynecology / standards
  • Hospitalists*
  • Humans
  • Hypertension, Pregnancy-Induced / mortality*
  • Hypertension, Pregnancy-Induced / prevention & control
  • Labor, Obstetric
  • Maternal Mortality / trends*
  • Obstetrics / methods*
  • Obstetrics / standards
  • Patient Safety
  • Postpartum Hemorrhage / mortality
  • Postpartum Hemorrhage / prevention & control
  • Pre-Eclampsia / mortality*
  • Pre-Eclampsia / prevention & control
  • Pregnancy
  • Pregnancy Complications / mortality*
  • Pregnancy Complications / prevention & control
  • Pulmonary Embolism / mortality
  • Pulmonary Embolism / prevention & control
  • Referral and Consultation
  • United States / epidemiology