Rates of labor induction and primary cesarean delivery do not correlate with rates of adverse neonatal outcome in level I hospitals

被引:11
作者
Glantz, J. Christopher [1 ]
机构
[1] Univ Rochester, Sch Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, Rochester, NY 14642 USA
关键词
Labor; interventions; NICU admission; ventilation; low Apgar; UPSTATE NEW-YORK; MEDICAL-CARE; RISK; SECTIONS; TERM;
D O I
10.3109/14767058.2010.514629
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Methods. aEuro integral A birth certificate database was used to calculate crude and adjusted rates of IOL and PCD among 10 regional hospitals. Adjustment via logistic regression controlled for differences in medical and demographic factors. Linear regression assessed the relationship of crude and adjusted IOL and PCD rates to rates of three neonatal outcomes. Results. aEuro integral IOL and PCD rates varied widely among hospitals (1.79- and 1.72-fold, respectively); variation increased following adjustment (1.93- and 1.86-fold, respectively). Rates of adverse neonatal outcomes varied by year and hospital, but not by IOL or PCD rates (p >= a parts per thousand yen 0.05). Conclusions. aEuro integral Crude and adjusted rates of labor induction and PCD vary among level I hospitals, but with no consistent effect on neonatal outcome.
引用
收藏
页码:636 / 642
页数:7
相关论文
共 23 条
  • [1] Maternal and neonatal outcomes by labor onset type and gestational age
    Bailit, Jennifer L.
    Gregory, Kimberly D.
    Reddy, Uma M.
    Gonzalez-Quintero, Victor H.
    Hibbard, Judith U.
    Ramirez, Mildred M.
    Branch, D. Ware
    Burkman, Ronald
    Haberman, Shoshana
    Hatjis, Christos G.
    Hoffman, Matthew K.
    Kominiarek, Michelle
    Landy, Helain J.
    Learman, Lee A.
    Troendle, James
    Van Veldhuisen, Paul
    Wilkins, Isabelle
    Sun, Liping
    Zhang, Jun
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2010, 202 (03) : 245.e1 - 245.e12
  • [2] Hospital primary cesarean delivery rates and the risk of poor neonatal outcomes
    Bailit, JL
    Garrett, JM
    Miller, WC
    McMahon, MJ
    Cefalo, RC
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 187 (03) : 721 - 727
  • [3] *CTR DIS CONTR, 2009, NATL VITAL STAT REP, V57, P1
  • [4] Medical care - Is more always better?
    Fisher, ES
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (17) : 1665 - 1667
  • [5] Avoiding the unintended consequences of growth in medical care - How might more be worse?
    Fisher, ES
    Welch, HG
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (05): : 446 - 453
  • [6] Term Labor Induction Compared With Expectant Management
    Glantz, J. Christopher
    [J]. OBSTETRICS AND GYNECOLOGY, 2010, 115 (01) : 70 - 76
  • [7] Cesarean delivery risk adjustment for regional interhospital comparisons
    Glantz, JC
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 181 (06) : 1425 - 1431
  • [8] Glantz JC, 2004, J REPROD MED, V49, P175
  • [9] Labor induction rate variation in upstate new york: What is the difference?
    Glantz, JC
    [J]. BIRTH-ISSUES IN PERINATAL CARE, 2003, 30 (03): : 168 - 174
  • [10] Cesarean delivery rates and neonatal morbidity in a low-risk population
    Gould, JB
    Danielsen, B
    Korst, LM
    Phibbs, R
    Chance, K
    Main, E
    Wirtschafter, DD
    Stevenson, DK
    [J]. OBSTETRICS AND GYNECOLOGY, 2004, 104 (01) : 11 - 19