{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:53:40Z","timestamp":1791986020940,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With the increasing prevalence of conditions requiring stoma creation in younger populations, a growing number of women with ostomies are considering pregnancy. However, limited data exist regarding maternal outcomes at the national level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study analyzed the National Readmissions Database from 2016 to 2022. All adult hospitalizations involving vaginal or cesarean delivery were identified using\n                      <jats:italic>International Classification of Diseases 10th Revision<\/jats:italic>\n                      codes and stratified based on documentation of an ostomy diagnosis code during the index hospitalization. The primary outcome was severe maternal morbidity (SMM). Secondary outcomes included individual complication categories, in\u2010hospital mortality, and resource utilization. Risk\u2010adjusted analyses were performed using entropy balancing and multivariable regression models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 13,292,764 delivery hospitalizations, 926 (\u223c0.01%) involved pregnant women with ostomies. The prevalence of ostomy during deliveries increased 1.5\u2010fold during the 7\u2010year study period from 2016 to 2022, from 7.1 to 10.6 per 100,000 deliveries overall, with specific increases observed for both cesarean (15.3 to 19.9 per 100,000) and vaginal (3.0 to 7.5 per 100,000) deliveries. After risk adjustment, ostomy was associated with increased odds of SMM (adjusted odds ratio [AOR], 1.57; 95% CI, 1.04\u20132.36). Treatment at medium (AOR, 0.95; 95% CI, 0.94\u20130.97) and high\u2010volume emergency general surgery (EGS) centers (AOR, 0.94; 95% CI, 0.92\u20130.96) was associated with reduced odds of SMM. Ostomy was linked with increased hospitalization costs by $1.18k (95% CI, 473\u20131890), and tendency toward higher odds of 30\u2010day readmission (AOR, 1.54; 95% CI, 0.91\u20132.60).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Maternal ostomy is associated with increased SMM and resource utilization during birthing hospitalizations. However, specialized care at medium and high\u2010volume EGS centers may reduce these risks. These findings highlight the need for specialized protocols for pregnant women with ostomies to optimize maternal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70261","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T11:41:02Z","timestamp":1770896462000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maternal outcomes among ostomy patients undergoing vaginal and cesarean deliveries: A national analysis"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4705-0262","authenticated-orcid":false,"given":"Sona","family":"Mahrokhi","sequence":"first","affiliation":[{"name":"Center for Advanced Surgical and Interventional Technology Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amulya","family":"Vadlakonda","sequence":"additional","affiliation":[{"name":"Center for Advanced Surgical and Interventional Technology Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy","family":"Coaston","sequence":"additional","affiliation":[{"name":"Center for Advanced Surgical and Interventional Technology Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gizem","family":"Bilgili","sequence":"additional","affiliation":[{"name":"Center for Advanced Surgical and Interventional Technology Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Justo","sequence":"additional","affiliation":[{"name":"Center for Advanced Surgical and Interventional Technology Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konmal","family":"Ali","sequence":"additional","affiliation":[{"name":"Center for Advanced Surgical and Interventional Technology Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3807-7022","authenticated-orcid":false,"given":"Yalda","family":"Afshar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1867-4361","authenticated-orcid":false,"given":"Peyman","family":"Benharash","sequence":"additional","affiliation":[{"name":"Center for Advanced Surgical and Interventional Technology Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"},{"name":"Department of Surgery David Geffen School of Medicine at UCLA  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2023.04.035"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14731"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2017.394"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(24)00600\u20104"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izae301"},{"key":"e_1_2_9_7_1","volume-title":"Citation for: Pregnancy and Stomas: A 9\u2010Year Retrospective Series at a Major Metropolitan Hospital in Brisbane Queensland","author":"Kelly M. 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