J Christopher Glantz1. 1. Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA. chris_glantz@urmc.rochester.edu
Abstract
OBJECTIVE: To determine whether variation in rates of labor induction (IOL) and primary cesarean delivery (PCD) among level I hospitals is associated with differences in neonatal outcomes. METHODS: 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: 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 ≥ 0.05). CONCLUSIONS: Crude and adjusted rates of labor induction and PCD vary among level I hospitals, but with no consistent effect on neonatal outcome.
OBJECTIVE: To determine whether variation in rates of labor induction (IOL) and primary cesarean delivery (PCD) among level I hospitals is associated with differences in neonatal outcomes. METHODS: 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: 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 ≥ 0.05). CONCLUSIONS: Crude and adjusted rates of labor induction and PCD vary among level I hospitals, but with no consistent effect on neonatal outcome.
Authors: Tanya A Nippita; Judy A Trevena; Jillian A Patterson; Jane B Ford; Jonathan M Morris; Christine L Roberts Journal: BMJ Open Date: 2015-09-02 Impact factor: 2.692
Authors: Sandra Dunn; Ann E Sprague; Jeremy M Grimshaw; Ian D Graham; Monica Taljaard; Deshayne Fell; Wendy E Peterson; Elizabeth Darling; JoAnn Harrold; Graeme N Smith; Jessica Reszel; Andrea Lanes; Carolyn Truskoski; Jodi Wilding; Deborah Weiss; Mark Walker Journal: Implement Sci Date: 2016-05-04 Impact factor: 7.327