Can differences in obstetric outcomes be explained by differences in the care provided? The MFMU Network APEX study.

ABSTRACT:

Objective

The purpose of this study was to determine whether hospital differences in the frequency of adverse obstetric outcomes are related to differences in care.

Study design

The Assessment of Perinatal EXcellence cohort comprises 115,502 women and their neonates who were born in 25 hospitals in the United States between March 2008 and February 2011. Hierarchical logistic regression was used to quantify the amount of variation in postpartum hemorrhage, peripartum infection, severe perineal laceration, and a composite adverse neonatal outcome among hospitals that is explained by differences in patient characteristics, hospital characteristics, and obstetric care provided.

Results

The study included 115,502 women. For most outcomes, 20-40% of hospital differences in

SUBMITTER: Grobman WA 

PROVIDER: S-EPMC4117924 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature