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10.1055/s-0041-1740563 [doi]
200112 [pii]
PMC8674087 [pmc]
Ovid MEDLINE(R)
34925955
Factors Associated with Meeting Obstetric Care Consensus Guidelines for Nulliparous, Term, Singleton, Vertex Cesarean Births.
American journal of perinatology reports. 11(4):e142-e146, 2021 Oct.
Am. j. perinatol. reports. 11(4):e142-e146, 2021 Oct.
AJP reports
2021
FY2022
2021 Oct
epublish
2022-02-21
Objective This study aimed to identify factors associated with meeting the Obstetric Care Consensus (OCC) guidelines for nulliparous, term, singleton, and vertex (NTSV) cesarean births. Materials and methods This was a retrospective case control study of women with NTSV cesarean births between January 2014 and December 2017 at single tertiary care center. Demographics and clinical characteristics were compared between women with NTSV cesarean births which did or did not meet OCC guidelines. A multivariable logistic regression model was used to evaluate the effect of each variable on the odds of meeting OCC guidelines. Results There were 1,834 women with NTSV cesarean births of which 744 (40.6%) met OCC guidelines for delivery and 1,090 (59.4%) did not. After controlling for confounding factors, the odds of meeting OCC guidelines were increased for in-house providers managing with residents (adjusted odds ratio [aOR] = 2.03, 95% confidence interval [CI]: 1.44-2.87) and without residents (aOR = 1.66, 95% CI: 1.30-2.12), compared with non-in-house providers managing without residents. There was no significant difference in the odds of meeting OCC guidelines for in-house providers managing with or without residents (aOR = 1.23, 95% CI: 0.84-1.79). Conclusion After adjusting for confounding factors, in-house provider coverage, regardless of resident involvement, is associated with increased odds of NTSV cesarean births meeting OCC guidelines. Key Points Frequency of adherence to OCC guidelines for NTSV cesarean births was 40.6%.Neither patient demographics nor comorbidities was associated with the odds of meeting OCC guidelines. In-house providers are associated with increased odds of meeting OCC guidelines. Copyright The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).
English
IN PROCESS -- NOT YET INDEXED
MedStar Health Research Institute
MedStar Washington Hospital Center
Obstetrics and Gynecology
Obstetrics and Gynecology/Maternal-Fetal Medicine
Journal Article
Brown, Inga
Huang, Jim C
Kawakita, Tetsuya
Wang, Tiffany
Brown I, Huang J, Kawakita T, Moxley M, Wang T
https://dx.doi.org/10.1055/s-0041-1740563
https://dx.doi.org/10.1055/s-0041-1740563
Kawakita, Tetsuya
https://orcid.org/0000-0003-2438-1699
https://orcid.org/0000-0003-2438-1699
ART
Article
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0
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Article
authcat
authcat
2022-02-21
0
34925955
34925955
2022-02-21
2022-02-21
ART
10938
10938