Association between provider type and cesarean birth in healthy nulliparous laboring women: A retrospective cohort study.

ABSTRACT: BACKGROUND:Term nulliparous women have the greatest variation across hospitals and providers in cesarean rates and therefore present an opportunity to improve quality through optimal care. We evaluated associations between provider type and mode of birth, including examination of intrapartum management in healthy, laboring nulliparous women. METHODS:Retrospective cohort study using prospectively collected perinatal data from a United States academic medical center (2005-2012). The sample included healthy nulliparous women with spontaneous labor onset and term, singleton, vertex fetus managed by either obstetricians or certified nurse-midwives. Univariate and multivariate logistic regression was used to compare labor interventions and mode of birth by provider type. RESULTS:A total of 1339

SUBMITTER: Carlson NS 

PROVIDER: S-EPMC5980660 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature