The Association between Solo versus Group Obstetrical Practice Model and Delivery Outcomes
| Autor: | Nathan S. Fox, Jonah Bardos, Patricia Rekawek, Holly Loudon, Michael Brodman, Frederick Friedman |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty MEDLINE Private Practice Perineum Lacerations 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Pregnancy Intensive Care Units Neonatal Odds Ratio Medicine Humans Labor Induced Shoulder Dystocia Solo practice reproductive and urinary physiology Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Singleton Cesarean Section Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Retrospective cohort study Odds ratio medicine.disease Delivery Obstetric Private practice Pediatrics Perinatology and Child Health Group Practice Female business Maternal Age |
| Zdroj: | American journal of perinatology. 36(9) |
| ISSN: | 1098-8785 |
| Popis: | Objective To determine if women under the care of obstetricians in solo practice have different delivery outcomes from women in a group practice. Study Design This is a retrospective cohort of live, term, singleton, vertex (LTSV) deliveries at one hospital from 2011 to 2015. We compared outcomes between women whose obstetrician was in solo practice with women in a group practice model. Results There were 18,214 LTSV deliveries by private obstetricians. Solo obstetricians were more likely to deliver at night (41.0 vs. 37.5%, p = 0.002) and less likely to induce labor (22.6 vs. 30.6%, p Conclusion In a large, tertiary care hospital, solo obstetricians have similar neonatal outcomes as group obstetricians. Their higher cesarean delivery rate is balanced by fewer shoulder dystocias and third/fourth degree lacerations, indicating a more conservative approach to labor management. Patient outcomes should not be a reason to discourage a solo practice model. |
| Databáze: | OpenAIRE |
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