Relationship of Hospital Staff Coverage and Delivery Room Resuscitation Practices to Birth Asphyxia
| Autor: | Alexis S. Davis, Jochen Profit, Elliot Main, Joanna H. Tu, Taylor Brown, Henry C. Lee, Kathryn Melsop |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty Hospitals Rural Resuscitation Hospitals Maternity 01 natural sciences California 03 medical and health sciences Hospitals Urban 0302 clinical medicine Obstetrics and gynaecology Anesthesiology Surveys and Questionnaires Medical Staff Hospital Humans Medicine Neonatology 0101 mathematics Asphyxia Asphyxia Neonatorum business.industry Delivery Rooms Infant Newborn Obstetrics and Gynecology 030208 emergency & critical care medicine Odds ratio Confidence interval Checklist Obstetrics 010101 applied mathematics Pediatrics Perinatology and Child Health Emergency medicine Workforce medicine.symptom business Hospitals High-Volume Neonatal resuscitation Specialization |
| Zdroj: | American Journal of Perinatology. 34:259-263 |
| ISSN: | 1098-8785 0735-1631 |
| Popis: | Objective The objective of this study was to assess utilization of specialist coverage and checklists in perinatal settings and to examine utilization by birth asphyxia rates. Design This is a survey study of California maternity hospitals concerning checklist use to prepare for delivery room resuscitation and 24-hour in-house specialist coverage (pediatrician/neonatologist, obstetrician, and obstetric anesthesiologist) and results linked to hospital birth asphyxia rates (preterm and low weight births were excluded). Results Of 253 maternity hospitals, 138 responded (55%); 59 (43%) indicated checklist use, and in-house specialist coverage ranged from 38% (pediatrician/neonatologist) to 54% (anesthesiology). In-house coverage was more common in urban versus rural hospitals for all specialties ( p p = 0.88). Higher birth volume hospitals had more specialist coverage ( p p = 0.3). In-house obstetric coverage was associated with lower asphyxia rates (odds ratio: 0.34; 95% confidence interval [CI]: 0.20, 0.58) in a regression model accounting for other providers. Checklist use was not associated with birth asphyxia (odds ratio: 1.12; 95% CI: 0.75, 1.68). Conclusion Higher birth volume and urban hospitals demonstrated greater in-house specialist coverage, but checklist use was similar across all hospitals. Current data suggest that in-house obstetric coverage has greater impact on asphyxia than other specialist coverage or checklist use. |
| Databáze: | OpenAIRE |
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