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Text
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URL Address
<a href="http://doi.org/10.1097/AOG.0b013e318260d9b2" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/AOG.0b013e318260d9b2</a>
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Pages
241-245
Issue
2
Volume
120
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Title
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Changes in the Indications for Scheduled Births to Reduce Nonmedically Indicated Deliveries Occurring Before 39 Weeks of Gestation
Publisher
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Obstetrics and Gynecology
Date
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2012
2012-08
Subject
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morbidity; Obstetrics & Gynecology; late preterm births; neonatal outcomes; term
Creator
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Bailit J L; Iams J; Silber A; Krew M; McKenna D; Marcotte M; Donovan E; Ohio Perinatal Quality Collaborati
Description
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OBJECTIVE: To estimate the change in indications for scheduled deliveries during the Ohio Perinatal Quality Collaborative's initiative to decrease scheduled deliveries for nonmedical indications before 39 weeks of gestation. METHODS: Documented indications for scheduled deliveries between 36 0/7 and 38 6/7 weeks were categorized as: strong medically accepted reasons for delivery; intermediate acceptability; and unnecessary before 39 weeks. We describe each of these indication categories as a proportion of all deliveries in the participating hospitals between October 2008 and December 2009. RESULTS: The percentage of scheduled deliveries that were unnecessary before 39 weeks or had intermediate indications decreased over time (P=.03). There were 145 fewer with intermediate reasons and 265 fewer that were unnecessary when the first 4 months of the project were compared with the last 4 months. Strong medical indications as a percentage of all deliveries did not change significantly over time (P=.99). CONCLUSION: Our quality collaborative reduced scheduled deliveries of medically unnecessary and intermediate indications for delivery at 36 0/7 and 38 6/7 weeks. However, scheduled deliveries with strong medical indication did not change significantly over time. (Obstet Gynecol 2012; 120: 241-5) DOI: 10.1097/AOG.0b013e318260d9b2
Identifier
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<a href="http://doi.org/10.1097/AOG.0b013e318260d9b2" target="_blank" rel="noreferrer noopener">10.1097/AOG.0b013e318260d9b2</a>
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Journal Article or Conference Abstract Publication
2012
Bailit J L
Donovan E
Iams J
Journal Article or Conference Abstract Publication
Krew M
late preterm births
Marcotte M
McKenna D
Morbidity
neonatal outcomes
Obstetrics & Gynecology
Obstetrics and gynecology
Ohio Perinatal Quality Collaborati
Silber A
term