Table 3

Absolute and relative rates of VTE by risk factors in the postpartum period

VariableEventsRate*IRR (Model 1)IRR (Model 2)
Maternal characteristics     
 Maternal age, y     
  15-24 48 255 (192-339) 0.80 (0.57-1.12) 0.86 (0.62-1.00) 
  25-34 156 316 (270-370) 1.00 1.00 
  35-44 81 497 (399-618) 1.51 (1.15-1.98) 1.37 (1.23-3.01) 
 Body mass index     
  Underweight (<18.5 kg/m2145 (54-386) 0.63 (0.23-1.71) 0.61 (0.22-1.67) 
  Normal (18.5-24.9 kg/m288 237 (192-292) 1.00 1.00 
  Overweight (25-29.9 kg/m248 324 (244-429)) 1.33 (0.93-1.89) 1.29 (0.90-1.83) 
  Obese (≥30 kg/m279 926 (742-1554) 3.75 (2.76-5.08) 3.45 (2.54-4.69) 
  No BMI recorded before conception 66 305 (239-390) 1.40 (1.01-1.92) 1.46 (1.06-2.01) 
 Current smokers 80 403 (324-504) 1.31 (1.01-1.71) 1.30 (1.00-1.69) 
Pregnancy-related characteristics and complication§     
 Mode of delivery     
  Spontaneous 186 281 (243-325) 1.00 1.00 
  Assisted 16 302 (185-494) 1.18 (0.70-1.99) 1.22 (0.73-2.06) 
  Caesarean 83 637 (513-790) 1.99 (1.52-2.58) 1.88 (1.44-2.45) 
 Previous live births     
  None 152 318 (271-373) 1.00 1.00 
  1 75 285 (228-358) 0.81 (0.61-1.08) 0.82 (0.62-1.09) 
  2 33 432 (307-608) 1.13 (0.77-1.66) 1.08 (0.73-1.60) 
  3 or more 25 904 (611-608) 2.07 (1.34-3.20) 1.92 (1.22-2.99) 
 Stillbirth 2444 (109-5440) 6.24 (2.77-14.1) 4.07 (1.73-9.56) 
 Multiple gestation 491 (234-1030) 1.39 (0.65-2.93) 0.94 (0.43-2.07) 
 Preterm birth 51 854 (649-1124) 2.69 (1.99-3.65) 2.28 (1.66-3.14) 
 Preeclampsia/eclampsia 705 (227-2188) 1.84 (0.59-5.78) 1.17 (0.36-3.77) 
 Obstetric hemorrhage 10 963 (518-1791) 2.89 (1.53-5.43) 2.53 (1.34-4.79) 
 Gestational diabetes 1013 (455-2255) 1.97 (0.87-4.45) 1.68 (0.74-3.82) 
 Gestational hypertension 10 705 (379-1311) 1.63 (0.85-3.12) 1.49 (0.78-2.84) 
 Acute respiratory tract infection 18 617 (389-980) 1.65 (1.02-2.66) 1.56 (0.97-2.53) 
 Urinary tract infection 27 391 (268-571) 1.15 (0.77-1.71) 1.06 (0.71-1.58) 
Medical comorbidities§     
 Preexisting diabetes 445 (167-1186) 0.88 (0.33-2.38) 0.69 (0.25-1.85) 
 Preexisting hypertension 113 (36-353) 0.25 (0.81-0.79) 0.22 (0.71-0.68) 
 Varicose veins 25 1330 (899-1969) 3.83 (2.51-5.82) 3.90 (2.56-5.93) 
 Nephrotic syndrome — — — 
 Systemic lupus erythematosus 2374 (344-16856) 6.69 (0.95-47.0) 5.40 (0.76-38.3) 
 Cancer 446 (185-1073) 1.21 (0.49-2.96) 1.14 (0.46-2.79) 
 Inflammatory bowel disease 1514 (630-3638) 4.56 (1.88-11.0) 4.07 (1.73-9.57) 
 Cardiac disease 2258 (646-10335) 6.58 (1.63-26.5) 5.30 (1.30-21.5) 
VariableEventsRate*IRR (Model 1)IRR (Model 2)
Maternal characteristics     
 Maternal age, y     
  15-24 48 255 (192-339) 0.80 (0.57-1.12) 0.86 (0.62-1.00) 
  25-34 156 316 (270-370) 1.00 1.00 
  35-44 81 497 (399-618) 1.51 (1.15-1.98) 1.37 (1.23-3.01) 
 Body mass index     
  Underweight (<18.5 kg/m2145 (54-386) 0.63 (0.23-1.71) 0.61 (0.22-1.67) 
  Normal (18.5-24.9 kg/m288 237 (192-292) 1.00 1.00 
  Overweight (25-29.9 kg/m248 324 (244-429)) 1.33 (0.93-1.89) 1.29 (0.90-1.83) 
  Obese (≥30 kg/m279 926 (742-1554) 3.75 (2.76-5.08) 3.45 (2.54-4.69) 
  No BMI recorded before conception 66 305 (239-390) 1.40 (1.01-1.92) 1.46 (1.06-2.01) 
 Current smokers 80 403 (324-504) 1.31 (1.01-1.71) 1.30 (1.00-1.69) 
Pregnancy-related characteristics and complication§     
 Mode of delivery     
  Spontaneous 186 281 (243-325) 1.00 1.00 
  Assisted 16 302 (185-494) 1.18 (0.70-1.99) 1.22 (0.73-2.06) 
  Caesarean 83 637 (513-790) 1.99 (1.52-2.58) 1.88 (1.44-2.45) 
 Previous live births     
  None 152 318 (271-373) 1.00 1.00 
  1 75 285 (228-358) 0.81 (0.61-1.08) 0.82 (0.62-1.09) 
  2 33 432 (307-608) 1.13 (0.77-1.66) 1.08 (0.73-1.60) 
  3 or more 25 904 (611-608) 2.07 (1.34-3.20) 1.92 (1.22-2.99) 
 Stillbirth 2444 (109-5440) 6.24 (2.77-14.1) 4.07 (1.73-9.56) 
 Multiple gestation 491 (234-1030) 1.39 (0.65-2.93) 0.94 (0.43-2.07) 
 Preterm birth 51 854 (649-1124) 2.69 (1.99-3.65) 2.28 (1.66-3.14) 
 Preeclampsia/eclampsia 705 (227-2188) 1.84 (0.59-5.78) 1.17 (0.36-3.77) 
 Obstetric hemorrhage 10 963 (518-1791) 2.89 (1.53-5.43) 2.53 (1.34-4.79) 
 Gestational diabetes 1013 (455-2255) 1.97 (0.87-4.45) 1.68 (0.74-3.82) 
 Gestational hypertension 10 705 (379-1311) 1.63 (0.85-3.12) 1.49 (0.78-2.84) 
 Acute respiratory tract infection 18 617 (389-980) 1.65 (1.02-2.66) 1.56 (0.97-2.53) 
 Urinary tract infection 27 391 (268-571) 1.15 (0.77-1.71) 1.06 (0.71-1.58) 
Medical comorbidities§     
 Preexisting diabetes 445 (167-1186) 0.88 (0.33-2.38) 0.69 (0.25-1.85) 
 Preexisting hypertension 113 (36-353) 0.25 (0.81-0.79) 0.22 (0.71-0.68) 
 Varicose veins 25 1330 (899-1969) 3.83 (2.51-5.82) 3.90 (2.56-5.93) 
 Nephrotic syndrome — — — 
 Systemic lupus erythematosus 2374 (344-16856) 6.69 (0.95-47.0) 5.40 (0.76-38.3) 
 Cancer 446 (185-1073) 1.21 (0.49-2.96) 1.14 (0.46-2.79) 
 Inflammatory bowel disease 1514 (630-3638) 4.56 (1.88-11.0) 4.07 (1.73-9.57) 
 Cardiac disease 2258 (646-10335) 6.58 (1.63-26.5) 5.30 (1.30-21.5) 
*

Absolute rate calculated as per 100 000 person-years.

Adjusted for age, parity, BMI, and smoking status when not stratified by them.

Adjusted for age, parity, BMI, mode of delivery, pregnancy length, obstetric hemorrhage, varicose veins, IBD, cardiac disease and smoking status when not stratified by them.

§

IRR compared with women without risk factor under study.

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