Hospital Variation in Cesarean Delivery: A Multilevel Analysis

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Maternal Clinical Diagnoses and Hospital Variation in the Risk of Cesarean Delivery: Analyses of a National US Hospital Discharge Database

BACKGROUND Cesarean delivery is the most common inpatient surgery in the United States, where 1.3 million cesarean sections occur annually, and rates vary widely by hospital. Identifying sources of variation in cesarean use is crucial to improving the consistency and quality of obstetric care. We used hospital discharge records to examine the extent to which variability in the likelihood of ces...

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Geographic variation in the appropriate use of cesarean delivery.

There is enormous geographic variation in the use of cesarean delivery: For births over 2,500 grams, adjusted cesarean rates vary fourfold between low- and high-use areas. Even for births under 2,500 grams, high-use counties have rates that are double those of low-use ones. Higher cesarean rates are only partially explained by patient characteristics but are greatly influenced by nonmedical fac...

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Demographic determinants for cesarean delivery in Pattani Hospital.

We investigated demographic determinants for cesarean delivery based on a database of 25,829 singleton births at Pattani Hospital from October 1, 1996 to September 30, 2005. This database includes demographic information about the mother and delivery type outcomes. Using logistic regression analysis to adjust each factor for possible confounding effects of other factors, we found that Islamic w...

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Decision-to-delivery interval in emergency cesarean delivery in tertiary care hospital in Thailand

Objective To determine the decision-to-delivery interval (DDI) in emergency cesarean delivery and associated factors. Methods A total of 431 pregnant women who were indicated for emergency cesarean delivery were included. Clinical information and timing of process after decision until delivery and pregnancy outcomes were evaluated. Results Mean age was 30 years, and 59.4% were nulliparous. ...

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Analysis of Cesarean section delivery at Nova Bila Hospital according to the Robson classification.

An increase in Cesarean section birth rate is evident worldwide, especially in developed and developing countries. Since this trend is rapidly gaining epidemic status with unpredictable consequences regarding the reproductive and overall women's health, there is a need for systematic collection and analysis of Cesarean section occurrence data. At this moment, there is no standardized, internati...

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ژورنال

عنوان ژورنال: Value in Health Regional Issues

سال: 2015

ISSN: 2212-1099

DOI: 10.1016/j.vhri.2015.07.003