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

In a nationwide population-based study of 50,538 hospitalisations with a diagnosis of early miscarriage in all acute maternity hospitals in Ireland during 2005–2016, we found that early miscarriage hospitalisations became 19% less common but the risk of blood transfusion doubled.

Authors
Indra San Lázaro Campillo, Sarah Meaney, Keelin O'Donoghue
Year
2019
Journal Name
Reproductive Health
Category
Journal Article
Keywords
Miscarriage
Project
Miscarriage in Ireland
Full Citation
San Lazaro Campillo I, Meaney S, O’Donoghue K, Corcoran P. Miscarriage hospitalisations: a national population-based study of incidence and outcomes, 2005–2016. Reproductive Health. 2019;16:51. https://doi.org/10.1186/s12978-019-0720-y.
Link to Publication
https://doi.org/10.1186/s12978-019-0720-y

Abstract

Approximately, 1 in 4 women will experience an early miscarriage. Despite its high occurrence, there is a lack of information regarding trends in the number of new events that occur every year (incidence rates) of hospitalisations and type of management of early miscarriage. In this study, we explored national trends in incidence rates of hospital admissions for early miscarriage in the Republic of Ireland from January of 2005 to December of 2016. We also estimated health issues associated with blood transfusion and length of stay over two days. Over this period of time, there were 50,538 hospitalisations for early miscarriage. Early miscarriage hospitalisations became 19% less common during 2005–2016 but the risk of blood transfusion doubled. The risk of an extended length of stay also increased over the same time period. Women who underwent medical management did not have as many blood transfusions compared to those who had surgical management. However, women who underwent treatment with medication had a 97% higher risk of a prolonged stay at the hospital. More research is needed to explore the patterns of care and health issues associated to hospitalisation to improve protocols of management and the care provided for women who miscarry.

Pregnancy Loss Research Group

Pregnancy Loss Research Group, Department of Obstetrics & Gynaecology, University College Cork, Fifth Floor, Cork University Maternity Hospital, Wilton, Cork, T12 YE02, Ireland,

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