| Factors contributing to maternal birth-related trauma. | |
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MedLine Citation:
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PMID: 17804393 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Lance L Roberts; John W Ely; Marcia M Ward |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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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:
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Created Date: 2007-09-06 Completed Date: 2007-10-18 Revised Date: 2007-12-03 |
Medline Journal Info:
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Nlm Unique ID: 9300756 Medline TA: Am J Med Qual Country: United States |
Other Details:
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Languages: eng Pagination: 334-43 Citation Subset: IM |
Affiliation:
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Department of Health Management and Policy, University of Iowa, Iowa City 52242, USA. lance-l-roberts@uiowa.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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HS015009/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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