Hospital differences in cesarean deliveries in Massachusetts (US) 2004-2006: the case against case-mix artifact.

ABSTRACT:

Objective

We examined the extent to which differences in hospital-level cesarean delivery rates in Massachusetts were attributable to hospital-level, rather than maternal, characteristics.

Methods

Birth certificate and maternal in-patient hospital discharge records for 2004-06 in Massachusetts were linked. The study population was nulliparous, term, singleton, and vertex births (NTSV) (n = 80,371) in 49 hospitals. Covariates included mother's age, race/ethnicity, education, infant birth weight, gestational age, labor induction (yes/no), hospital shift at time of birth, and preexisting health conditions. We estimated multilevel logistic regression models to assess the likelihood of a cesarean delivery.

Results

Overall, among women with NTSV births, 26.5% births were ce

SUBMITTER: Caceres IA 

PROVIDER: S-EPMC3601117 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature