Document Detail


Factors contributing to maternal birth-related trauma.
MedLine Citation:
PMID:  17804393     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Agency for Healthcare Research and Quality Quality Indicator tools were used to identify risk factors for maternal birth-related trauma rates in the 2003 Nationwide Inpatient Sample and the 2002-2004 Iowa State Inpatient Database. Risk-adjusted analyses of these datasets isolated salient risk factors for maternal trauma. The rates of Iowa's risk factors for the most serious types of trauma--third/fourth-degree lacerations--were compared with national rates. The comparisons suggest that episiotomy, artificial rupture of membranes, obstructed labor, and late pregnancies are the most salient risk factors for third/fourth-degree lacerations within Iowa. Thus, this research suggested that a combination of maternal, baby, and episiotomy factors contributed to the high prevalence of third/fourth-degree lacerations in vaginal deliveries in Iowa. Finally, our risk-adjustment methodology could be used in a similar manner to analyze other discharge datasets for opportunities to improve maternal outcomes.
Authors:
Lance L Roberts; John W Ely; Marcia M Ward
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of medical quality : the official journal of the American College of Medical Quality     Volume:  22     ISSN:  1062-8606     ISO Abbreviation:  Am J Med Qual     Publication Date:    2007 Sep-Oct
Date Detail:
Created Date:  2007-09-06     Completed Date:  2007-10-18     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  9300756     Medline TA:  Am J Med Qual     Country:  United States    
Other Details:
Languages:  eng     Pagination:  334-43     Citation Subset:  IM    
Affiliation:
Department of Health Management and Policy, University of Iowa, Iowa City 52242, USA. lance-l-roberts@uiowa.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Continental Population Groups
Delivery, Obstetric / adverse effects*,  statistics & numerical data*
Episiotomy / statistics & numerical data
Female
Humans
Iowa / epidemiology
Lacerations / epidemiology*
Obstetric Labor Complications / epidemiology
Pregnancy
Pregnancy Complications / epidemiology*
Quality of Health Care / statistics & numerical data
Risk Factors
Safety*
Grant Support
ID/Acronym/Agency:
HS015009/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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