The influence of hospital type on induction of labor and mode of delivery
| Autor: | David F. Lewis, Candice C. Snyder, Emily DeFranco, Sammy Tabbah, Katherine Wolfe, Ryan W. Loftin |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Pediatrics business.industry Obstetrics Cesarean Section Obstetrics and Gynecology Gestational age Hospitals Community Odds ratio Induction of labor University hospital Confidence interval Community hospital Cohort Studies Hospitals University Hospital treatment Pregnancy Medicine Humans Female Labor Induced Cesarean delivery business Retrospective Studies |
| Zdroj: | American journal of obstetrics and gynecology. 205(4) |
| ISSN: | 1097-6868 |
| Popis: | The purpose of this study was to compare labor induction and cesarean delivery rates at term in community vs university hospitals.A population-based retrospective cohort study of births was performed. Primary outcomes were term gestation at39 weeks, labor induction, and cesarean delivery. After we adjusted for comorbidities, malpresentation, and previous cesarean delivery, logistic regression assessed the association between hospital type and primary outcomes.Births occur less often in week 37 (n = 24390 [11%] vs 4006 [13%]; adjusted odds ratio [OR], 0.9; 95% confidence interval [CI], 0.8-0.9) and are similar in week 38 in community vs university hospitals. Inductions occur more commonly in community vs university settings at 37 weeks (n = 6440 [27%] vs 757 [19%]; adjusted OR, 1.7; 95% CI, 1.5-1.8) and at 38 weeks (n = 16586 [31%] vs 1530 [21%]; adjusted OR, 1.8; 95% CI, 1.7-1.9). Cesarean rates are no different between hospital types.Induction is 70-80% more likely at community vs university hospitals before the optimal gestational age of ≥ 39 weeks, but cesarean delivery rates do not differ at term. |
| Databáze: | OpenAIRE |
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