Obstetrical Outcomes After Implementation of Laborist Model During the COVID-19 Pandemic
| العنوان: | Obstetrical Outcomes After Implementation of Laborist Model During the COVID-19 Pandemic |
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| المؤلفون: | Lakha, Prasannan, Rachel, Gerber, Moti, Gulersen, Weiwei, Shan, Matthew J, Blitz, Burton, Rochelson |
| المصدر: | Journal of Patient Safety. 18:e1243-e1246 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Obstetrics, Pregnancy, Cesarean Section, Leadership and Management, Public Health, Environmental and Occupational Health, Humans, COVID-19, Female, Pandemics, Retrospective Studies |
| الوصف: | The COVID-19 pandemic prompted labor and delivery units to establish ways to decrease viral exposure to healthcare workers while continuing to deliver optimal patient care. A laborist model was implemented to improve safety at our tertiary care hospital in Long Island. The aim of the study is to determine whether implementation of a laborist model during the COVID-19 pandemic is associated with a change in the frequency of cesarean birth.The retrospective cohort study included patients who delivered at a single tertiary center during March 2019 to May 2019 and March 2020 to May 2020 when our laborist model was initiated. The primary outcome compared the frequency of a cesarean delivery between both models. Secondary outcomes were the frequency of adverse obstetrical complications, which included intensive care unit admission, shoulder dystocia, intra-amniotic infection, hemorrhage, and need for blood transfusion. Statistical analysis included multivariable regression to adjust for potential confounders.A total of 1506 patients were included. Baseline characteristics were similar between the 2 groups. After adjusting for potential confounders, there was no significant difference in the frequency of cesarean births between both models (37% versus 35%; adjusted odds ratio, 1.003; 95% confidence interval, 0.46-2.89). Similarly, there were no significant differences in adverse outcomes between the study populations (adjusted odds ratio, 1.064; 95% confidence interval, 0.68-1.59).A change in practice behavior during a pandemic was not associated with an increase in frequency of cesarean births or adverse obstetrical outcomes. |
| تدمد: | 1549-8425 1549-8417 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::597c92c52344fbfb84c6679451db2e8a https://doi.org/10.1097/pts.0000000000001066 |
| رقم الأكسشن: | edsair.doi.dedup.....597c92c52344fbfb84c6679451db2e8a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15498425 15498417 |
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