دورية أكاديمية

Nationwide data confirms absence of 'July phenomenon' in obstetrics: it's safe to deliver in July.

التفاصيل البيبلوغرافية
العنوان: Nationwide data confirms absence of 'July phenomenon' in obstetrics: it's safe to deliver in July.
المؤلفون: Ford AA; College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA., Bateman BT, Simpson LL, Ratan RB
المصدر: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2007 Feb; Vol. 27 (2), pp. 73-6.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: United States NLM ID: 8501884 Publication Model: Print Cited Medium: Print ISSN: 0743-8346 (Print) Linking ISSN: 07438346 NLM ISO Abbreviation: J Perinatol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2001- : New York, NY : Nature Publishing Group
Original Publication: [Philadelphia, Pa. : W.B. Saunders, c1984-
مواضيع طبية MeSH: Seasons*, Delivery, Obstetric/*statistics & numerical data , Internship and Residency/*statistics & numerical data , Obstetrics/*education , Pregnancy Complications/*epidemiology, Adult ; Cesarean Section/statistics & numerical data ; Delivery, Obstetric/adverse effects ; Female ; Hospitalization/statistics & numerical data ; Humans ; Pregnancy ; Safety
مستخلص: Objective(s): To determine whether operator-dependent obstetric complications occur at higher rates in July at teaching hospitals using a large, nationwide sample of deliveries.
Study Design: Data for this study were obtained from an administrative dataset, the Nationwide Inpatient Sample, for the years 1998 to 2002. Singleton deliveries and singleton livebirth admissions among Medicaid patients at teaching hospitals with OB/GYN residents working on the Labor and Delivery ward were identified. Outcomes for various complications for these patients in the month of July were compared to those occurring in the months from August to June.
Results: The 26,546 women in our cohort who delivered in July were compared to the 272,584 women delivering during August to June. There were no statistically significant differences in the rates of cesarean delivery, urethral/bladder injury, third or fourth degree lacerations, wound complications, postpartum hemorrhage, transfusion, shoulder dystocia, chorioamnionitis or anesthesia-related complications. The 26,175 singleton livebirth admissions in July were compared to 266,158 such admissions in August to June. There were no statistically significant differences in the rates of brachial plexus injury (0.2 vs 0.2%, P=0.824) or birth asphyxia (0.1 vs 0.1%, P=0.643).
Conclusion(s): This study shows no increased rate of operator-dependent complications of delivery at teaching hospitals nationwide in the month of July.
التعليقات: Comment in: J Perinatol. 2007 Feb;27(2):71-2. (PMID: 17262036)
تواريخ الأحداث: Date Created: 20070131 Date Completed: 20070330 Latest Revision: 20220331
رمز التحديث: 20231215
DOI: 10.1038/sj.jp.7211635
PMID: 17262037
قاعدة البيانات: MEDLINE
الوصف
تدمد:0743-8346
DOI:10.1038/sj.jp.7211635