Adverse outcomes of (post-)term births and differences in professional organisational contexts: an integral descriptive system approach.

ABSTRACT:

Objective

The development and application of an integral descriptive model for monitoring and evaluation of patient flows and adverse outcomes of childbirth related to distinct categories of professional organisational contexts.

Setting

After categorisation of the individual professional contexts in which deliveries take place, the resulting framework has been superimposed on the 2002-2010 database of the Netherlands Perinatal Registry.

Participants

All Dutch hospitals and almost all first-line midwife practices recorded 1,469,955 (post-)term births from which only the patients with a spontaneous onset of labour (n=1,120,508) were included in a study on the quality of obstetric care outside office hours.

Main outcome measures

For the performance of professional

SUBMITTER: Harmsen L 

PROVIDER: S-EPMC4244403 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature