| Autor: |
Callaghan-Koru, Jennifer A., DiPietro, Bonnie, Wahid, Inaya, Mark, Katrina, Burke, Ann B., Curran, Geoffrey, Creanga, Andreea A. |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Obstet Gynecol |
| Popis: |
OBJECTIVE: To assess the extent to which hospitals participating in Maryland’s perinatal quality collaborative (MDPQC) to reduce primary cesarean deliveries adopted policy and practice changes and the association of this adoption with state-level cesarean delivery rates. METHODS: This prospective evaluation of the MDPQC includes 31 (97%) of the birthing hospitals in the state, which all voluntarily participated in the 30-month collaborative from June 2016 to December 2018. Hospital teams agreed to implement practices from the “Safe Reduction of Primary Cesarean Births” patient safety bundle, developed by the Council on Patient Safety in Women’s Health Care. Each hospital’s implementation of practices in the bundle was measured through surveys of team leaders at 12 and 30 months. Half-yearly cesarean delivery rates were calculated from aggregate birth certificate data for each hospital and differences in rates between the 6 months prior to the collaborative (baseline) and the 6 months afterwards (endline) were tested for statistical significance. RESULTS: Among the 26 bundle practices that were assessed, participating hospitals reported having a median of 7 practices (range: 0–23) already in place prior to the collaborative and implementing a median of 4 (range: 0–17) new practices during the collaborative. Across the collaborative, the cesarean delivery rates decreased from 28.5% to 26.9% (p=0.011) for all nulliparous term singleton vertex births and from 36.1% to 31.3% (p |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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