Journal article
The association between hospital obstetrical volume and maternal postpartum complications
American journal of obstetrics and gynecology, Vol.207(1), pp.42.e1-42.e17
07/01/2012
DOI: 10.1016/j.ajog.2012.05.010
PMCID: PMC4362705
PMID: 22727347
Abstract
OBJECTIVE: The purpose of this study was to examine the relationship between delivery volume and maternal complications.
STUDY DESIGN: We used administrative data to identify women who had been admitted for childbirth in 2006. Hospitals were stratified into deciles that were based on delivery volume. We compared composite complication rates across deciles.
RESULTS: We evaluated 1,683,754 childbirths in 1045 hospitals. Decile 1 and 2 hospitals had significantly higher rates of composite complications than decile 10 (11.8% and 10.1% vs 8.5%, respectively; P < .0001). Decile 9 and 10 hospitals had modestly higher composite complications as compared with decile 6 (8.8% and 8.5% vs 7.6%, respectively; P < .0001). Sixty percent of decile 1 and 2 hospitals were located within 25 miles of the nearest greater volume hospital.
CONCLUSION: Women who deliver at very low-volume hospitals have higher complication rates, as do women who deliver at exceedingly high-volume hospitals. Most women who deliver in extremely low-volume hospitals have a higher volume hospital located within 25 miles.
Details
- Title: Subtitle
- The association between hospital obstetrical volume and maternal postpartum complications
- Creators
- Kathy L. Kyser - Walter Reed National Military Medical CenterXin Lu - Univ Iowa Hosp & Clin, Dept Internal Med, Div Gen Med, Iowa City, IA 52242 USADonna A. Santillan - University of Iowa, Obstetrics and GynecologyMark K. Santillan - University of Iowa, Obstetrics and GynecologyStephen K. Hunter - University of Iowa, Obstetrics and GynecologyAlison G. Cahill - Washington Univ, Sch Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, St Louis, MO 63110 USAPeter Cram - University of Iowa, Internal Medicine
- Resource Type
- Journal article
- Publication Details
- American journal of obstetrics and gynecology, Vol.207(1), pp.42.e1-42.e17
- DOI
- 10.1016/j.ajog.2012.05.010
- PMID
- 22727347
- PMCID
- PMC4362705
- NLM abbreviation
- Am J Obstet Gynecol
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Publisher
- Elsevier
- Number of pages
- 17
- Grant note
- K12HD000849 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) RR01997201 / K23 career development award from the National Center for Research Resources R01GM090148 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA K12 HD000849 / Reproductive Scientist Development Program (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Vanguard Health KL2RR024980 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) R01GM090148 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS) Robert Wood Johnson Physician Faculty Scholars Program; Robert Wood Johnson Foundation (RWJF) Department of Veterans Affairs; US Department of Veterans Affairs R01 HL085347-01A1 / NIH (NHLBI, NIH) KL2RR024980-2 / University of Iowa Institute for Clinical and Translational Science KL2 Scholar program (NIH) R01HL085347 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Language
- English
- Date published
- 07/01/2012
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Obstetrics and Gynecology; Internal Medicine
- Record Identifier
- 9983557401702771
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