Journal article
Factors contributing to maternal birth-related trauma
American journal of medical quality, Vol.22(5), pp.334-343
09/2007
DOI: 10.1177/1062860607303315
PMID: 17804393
Abstract
The Agency for Healthcare Research and Quality Quality Indicator tools were used to identify risk factors for maternal birth-related trauma rates in the 2003 Nationwide Inpatient Sample and the 2002-2004 Iowa State Inpatient Database. Risk-adjusted analyses of these datasets isolated salient risk factors for maternal trauma. The rates of Iowa's risk factors for the most serious types of trauma--third/fourth-degree lacerations--were compared with national rates. The comparisons suggest that episiotomy, artificial rupture of membranes, obstructed labor, and late pregnancies are the most salient risk factors for third/fourth-degree lacerations within Iowa. Thus, this research suggested that a combination of maternal, baby, and episiotomy factors contributed to the high prevalence of third/fourth-degree lacerations in vaginal deliveries in Iowa. Finally, our risk-adjustment methodology could be used in a similar manner to analyze other discharge datasets for opportunities to improve maternal outcomes.
Details
- Title: Subtitle
- Factors contributing to maternal birth-related trauma
- Creators
- Lance L Roberts - Department of Health Management and Policy, University of Iowa, Iowa City 52242, USA. lance-l-roberts@uiowa.eduJohn W ElyMarcia M Ward
- Resource Type
- Journal article
- Publication Details
- American journal of medical quality, Vol.22(5), pp.334-343
- DOI
- 10.1177/1062860607303315
- PMID
- 17804393
- ISSN
- 1062-8606
- eISSN
- 1555-824X
- Grant note
- HS015009 / AHRQ HHS
- Language
- English
- Date published
- 09/2007
- Academic Unit
- Health Management and Policy; Family and Community Medicine
- Record Identifier
- 9984214668802771
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