Changes in the Indications for Scheduled Births to Reduce Nonmedically Indicated Deliveries Occurring Before 39 Weeks of Gestation

Title

Changes in the Indications for Scheduled Births to Reduce Nonmedically Indicated Deliveries Occurring Before 39 Weeks of Gestation

Creator

Bailit J L; Iams J; Silber A; Krew M; McKenna D; Marcotte M; Donovan E; Ohio Perinatal Quality Collaborati

Publisher

Obstetrics and Gynecology

Date

2012
2012-08

Description

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

Subject

morbidity; Obstetrics & Gynecology; late preterm births; neonatal outcomes; term

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

241-245

Issue

2

Volume

120

Citation

Bailit J L; Iams J; Silber A; Krew M; McKenna D; Marcotte M; Donovan E; Ohio Perinatal Quality Collaborati, “Changes in the Indications for Scheduled Births to Reduce Nonmedically Indicated Deliveries Occurring Before 39 Weeks of Gestation,” NEOMED Bibliography Database, accessed March 3, 2021, https://neomed.omeka.net/items/show/8539.

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