{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T03:43:28Z","timestamp":1778125408347,"version":"3.51.4"},"reference-count":82,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>\n            Objective\u2003Approximately one-third of maternal deaths occur postpartum. Little is known about the intersection between the postpartum period, emergency department (ED) use, and opportunities to reduce maternal mortality. The primary objectives of this systematic review are to explore the incidence of postpartum ED use, identify postpartum disease states that are evaluated in the ED, and summarize postpartum ED use by race\/ethnicity and payor source.<\/jats:p><jats:p>\n            Study Design\u2003We searched PubMed, Embase, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ClinicalTrials.gov, Cochrane CENTRAL, Social Services Abstracts, and Scopus from inception to September 19, 2019. Each identified abstract was screened by two authors; the full-text manuscripts of all studies deemed to be potential candidates were then reviewed by the same two authors and included if they were full-text, peer-reviewed articles in the English language with primary patient data reporting care of a female in the ED in the postpartum period, defined as up to 1 year after the end of pregnancy.<\/jats:p><jats:p>\n            Results\u2003A total of 620 were screened, 354 records were excluded and 266 full-text articles were reviewed. Of the 266 full-text articles, 178 were included in the systematic review; of these, 108 were case reports. Incidence of ED use by postpartum females varied from 4.8 to 12.2% in the general population. Infection was the most common reason for postpartum ED evaluation. Young females of minority race and those with public insurance were more likely than whites and those with private insurance to use the ED.<\/jats:p><jats:p>\n            Conclusion\u2003As many as 12% of postpartum women seek care in the ED. Young minority women of lower socioeconomic status are more likely to use the ED. Since approximately one-third of maternal deaths occur in the postpartum period, successful efforts to reduce maternal mortality must include ED stakeholders. This study is registered with the Systematic Review Registration (identifier: CRD42020151126).<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0041-1732455","type":"journal-article","created":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T05:14:56Z","timestamp":1627622096000},"page":"489-507","source":"Crossref","is-referenced-by-count":7,"title":["Care of the Postpartum Patient in the Emergency Department: A Systematic Review with Implications for Maternal Mortality"],"prefix":"10.1055","volume":"40","author":[{"given":"Kellie A.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama"},{"name":"Center for Women's Reproductive Health, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison J.","family":"Haddock","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamad","family":"Husainy","sequence":"additional","affiliation":[{"name":"Sycamore Physicians, Florence, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren A.","family":"Walter","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Indranee","family":"Rajapreyar","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Wingate","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine H.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Library Sciences, University of Alabama at Birmingham, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Tita","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama"},{"name":"Center for Women's Reproductive Health, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Sinkey","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama"},{"name":"Center for Women's Reproductive Health, Birmingham, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,7,29]]},"reference":[{"key":"ref1","volume-title":"Trends in Maternal Mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: Executive Summary","author":"World Health Organizations","year":"2019"},{"issue":"18","key":"ref3","first-page":"423","article-title":"Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017","volume":"68","author":"E EDN Petersen","year":"2019","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"ref5","volume-title":"Pregnancy-related deaths","author":"Centers for Disease Control and Prevention"},{"issue":"01","key":"ref6","first-page":"1","article-title":"Births: final data for 2016","volume":"67","author":"J A Martin","year":"2018","journal-title":"Natl Vital Stat 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