Variation in the Nulliparous, Term, Singleton, Vertex Cesarean Delivery Rate.

ABSTRACT:

Objective

To estimate the contributions of patient and health care provider-hospital characteristics to the variation in the frequency of nulliparous, term, singleton, vertex cesarean delivery in a multi-institutional U.S. cohort.

Methods

We performed a secondary analysis of the multicenter Assessment of Perinatal Excellence cohort of 115,502 mother and neonatal pairs who were delivered at 25 hospitals between March 2008 and February 2011. Women met inclusion criteria if they were nulliparous and delivered a singleton in vertex presentation at term. Hospital ranks for nulliparous, term, singleton, vertex cesarean delivery frequency were determined after risk adjustment. The fraction of variation in nulliparous, term, singleton, vertex cesarean delivery frequency attributable

SUBMITTER: Pasko DN 

PROVIDER: S-EPMC6033063 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature