The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Donna M. Strobino - One of the best experts on this subject based on the ideXlab platform.
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Severe Maternal Morbidity at Delivery and Risk of Hospital Encounters Within 6 Weeks and 1 Year Postpartum.
Journal of Womens Health, 2017Co-Authors: Elizabeth M. Harvey, Saifuddin Ahmed, Susan E. Manning, Cynthia Argani, Hafsatou Diop, Donna M. StrobinoAbstract:Abstract Background: Little is known about the impact of severe maternal morbidity (SMM) after Delivery. We examined the risk of reHospitalization in the first year postpartum among deliveries to women with and without SMM. Materials and Methods: We used the Pregnancy to Early Life Longitudinal data system, in which vital birth/fetal death records were linked with Hospital Delivery discharge data and subsequent nonDelivery Hospitalization data, including observational stays (OSs) and in-patient stays (Hospital discharge [HD]) for Massachusetts residents during 2002–2011. We excluded deliveries to women with preexisting chronic conditions: hypertension, diabetes, asthma, and autoimmune conditions for a final sample of 685,228 deliveries. Multivariable log binomial regression with generalized estimating equations modeled the relative risk (RR) of Hospital encounters 6 weeks and 1 year postpartum. Results: The rate of SMM was 99 per 10,000 deliveries. In the first year postpartum, 2.8% of deliveries to women...
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Severe Maternal Morbidity at Delivery and Risk of Hospital Encounters Within 6 Weeks and 1 Year Postpartum.
Journal of Womens Health, 2017Co-Authors: Elizabeth M. Harvey, Saifuddin Ahmed, Susan E. Manning, Cynthia Argani, Hafsatou Diop, Donna M. StrobinoAbstract:Abstract Background: Little is known about the impact of severe maternal morbidity (SMM) after Delivery. We examined the risk of reHospitalization in the first year postpartum among deliveries to women with and without SMM. Materials and Methods: We used the Pregnancy to Early Life Longitudinal data system, in which vital birth/fetal death records were linked with Hospital Delivery discharge data and subsequent nonDelivery Hospitalization data, including observational stays (OSs) and in-patient stays (Hospital discharge [HD]) for Massachusetts residents during 2002–2011. We excluded deliveries to women with preexisting chronic conditions: hypertension, diabetes, asthma, and autoimmune conditions for a final sample of 685,228 deliveries. Multivariable log binomial regression with generalized estimating equations modeled the relative risk (RR) of Hospital encounters 6 weeks and 1 year postpartum. Results: The rate of SMM was 99 per 10,000 deliveries. In the first year postpartum, 2.8% of deliveries to women...
Christian M. Koeck - One of the best experts on this subject based on the ideXlab platform.
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Women's experiences with low-risk singleton in-Hospital Delivery in Switzerland.
Swiss Medical Weekly, 2004Co-Authors: David L. B. Schwappach, Annette Blaudszun, Dieter Conen, Klaus Eichler, M-a Hochreutener, Christian M. KoeckAbstract:OBJECTIVE To assess maternal and neonatal clinical short-term outcomes and women's experiences with singleton low-risk in-Hospital deliveries in a routine care setting. METHODS In 13 community Hospitals in the Cantons of Zurich (10), St. Gallen (2) and Schwyz (1), participating in the "Canton of Zurich Outcomes Project", trained Hospital staff recorded clinical outcome data. Patients completed a questionnaire at the end of the Hospital stay. Over two measurement cycles, 3395 eligible women entered the study and 2079 (61%) returned the questionnaire. RESULTS Sixty-seven percent of women had spontaneous and 11% had assisted vaginal deliveries, 12% delivered by emergency, and 10% by elective Caesarean section. The episiotomy rate in vaginal deliveries was 46% (95% CI 44-48%). Ten percent of neonates had umbilical cord artery pH < or =7.15 (95% CI 9-11%) and Apgar scores at five minutes were < or = 7 in 3% (95% CI 2.5-3.6%). Reporting negative experiences with Hospital care and an insufficient state of knowledge at discharge were strongly associated with mode of Delivery. The top three issues new mothers were most likely to report about feeling little or not informed about were postpartum pelvic floor exercises (22%), management of vaginal bleedings (12%), and alternatives of infant feeding (10%). CONCLUSION In a setting of routine care poor short-term outcomes were rare in women giving birth in Hospitals, and neonates and most mothers were discharged with a level of information that at least ensured a smooth transition to follow-up maternal care. Poor clinical results and patient-reported negative experiences concentrate in few individuals. Restrictive approaches that reduce the frequency of instrumental vaginal Delivery, and routine episiotomy remain an important objective for quality improvement.
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Women's experiences with low-risk singleton in-Hospital Delivery in Switzerland.
Swiss medical weekly, 2004Co-Authors: David L. B. Schwappach, Annette Blaudszun, Dieter Conen, Klaus Eichler, M-a Hochreutener, Christian M. KoeckAbstract:To assess maternal and neonatal clinical short-term outcomes and women's experiences with singleton low-risk in-Hospital deliveries in a routine care setting. In 13 community Hospitals in the Cantons of Zurich (10), St. Gallen (2) and Schwyz (1), participating in the "Canton of Zurich Outcomes Project", trained Hospital staff recorded clinical outcome data. Patients completed a questionnaire at the end of the Hospital stay. Over two measurement cycles, 3395 eligible women entered the study and 2079 (61%) returned the questionnaire. Sixty-seven percent of women had spontaneous and 11% had assisted vaginal deliveries, 12% delivered by emergency, and 10% by elective Caesarean section. The episiotomy rate in vaginal deliveries was 46% (95% CI 44-48%). Ten percent of neonates had umbilical cord artery pH < or =7.15 (95% CI 9-11%) and Apgar scores at five minutes were < or = 7 in 3% (95% CI 2.5-3.6%). Reporting negative experiences with Hospital care and an insufficient state of knowledge at discharge were strongly associated with mode of Delivery. The top three issues new mothers were most likely to report about feeling little or not informed about were postpartum pelvic floor exercises (22%), management of vaginal bleedings (12%), and alternatives of infant feeding (10%). In a setting of routine care poor short-term outcomes were rare in women giving birth in Hospitals, and neonates and most mothers were discharged with a level of information that at least ensured a smooth transition to follow-up maternal care. Poor clinical results and patient-reported negative experiences concentrate in few individuals. Restrictive approaches that reduce the frequency of instrumental vaginal Delivery, and routine episiotomy remain an important objective for quality improvement.
Elizabeth M. Harvey - One of the best experts on this subject based on the ideXlab platform.
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Severe Maternal Morbidity at Delivery and Risk of Hospital Encounters Within 6 Weeks and 1 Year Postpartum.
Journal of Womens Health, 2017Co-Authors: Elizabeth M. Harvey, Saifuddin Ahmed, Susan E. Manning, Cynthia Argani, Hafsatou Diop, Donna M. StrobinoAbstract:Abstract Background: Little is known about the impact of severe maternal morbidity (SMM) after Delivery. We examined the risk of reHospitalization in the first year postpartum among deliveries to women with and without SMM. Materials and Methods: We used the Pregnancy to Early Life Longitudinal data system, in which vital birth/fetal death records were linked with Hospital Delivery discharge data and subsequent nonDelivery Hospitalization data, including observational stays (OSs) and in-patient stays (Hospital discharge [HD]) for Massachusetts residents during 2002–2011. We excluded deliveries to women with preexisting chronic conditions: hypertension, diabetes, asthma, and autoimmune conditions for a final sample of 685,228 deliveries. Multivariable log binomial regression with generalized estimating equations modeled the relative risk (RR) of Hospital encounters 6 weeks and 1 year postpartum. Results: The rate of SMM was 99 per 10,000 deliveries. In the first year postpartum, 2.8% of deliveries to women...
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Severe Maternal Morbidity at Delivery and Risk of Hospital Encounters Within 6 Weeks and 1 Year Postpartum.
Journal of Womens Health, 2017Co-Authors: Elizabeth M. Harvey, Saifuddin Ahmed, Susan E. Manning, Cynthia Argani, Hafsatou Diop, Donna M. StrobinoAbstract:Abstract Background: Little is known about the impact of severe maternal morbidity (SMM) after Delivery. We examined the risk of reHospitalization in the first year postpartum among deliveries to women with and without SMM. Materials and Methods: We used the Pregnancy to Early Life Longitudinal data system, in which vital birth/fetal death records were linked with Hospital Delivery discharge data and subsequent nonDelivery Hospitalization data, including observational stays (OSs) and in-patient stays (Hospital discharge [HD]) for Massachusetts residents during 2002–2011. We excluded deliveries to women with preexisting chronic conditions: hypertension, diabetes, asthma, and autoimmune conditions for a final sample of 685,228 deliveries. Multivariable log binomial regression with generalized estimating equations modeled the relative risk (RR) of Hospital encounters 6 weeks and 1 year postpartum. Results: The rate of SMM was 99 per 10,000 deliveries. In the first year postpartum, 2.8% of deliveries to women...
Anjali J Kaimal - One of the best experts on this subject based on the ideXlab platform.
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Hospital volume and cesarean Delivery among low risk women in a nationwide sample
Journal of Perinatology, 2018Co-Authors: Mark A Clapp, Alexander Melamed, Kaitlyn E James, Jeffrey L Ecker, Anjali J KaimalAbstract:We sought to determine if Hospital Delivery volume was associated with a patient’s risk for cesarean Delivery in low-risk women. This study retrospectively examines a cohort of 1 657 495 deliveries identified in the 2013 Nationwide Readmissions Database. Hospitals were stratified by Delivery volume quartiles. Low-risk patients were identified using the Society for Maternal–Fetal Medicine definition (n=845 056). A multivariable logistic regression accounting for Hospital-level clustering was constructed to assess the factors affecting a patient’s odds for cesarean Delivery. The range of cesarean Delivery rates was 2.4–51.2% among low-risk patients, and the median was 16.5% (IQR 12.8–20.5%). The cesarean Delivery rate was higher in the top two-volume-quartile Hospitals (17.4 and 18.2%) compared to the bottom quartiles (16.4 and 16.3%) (P<0.001). Hospital volume was not associated with a patient’s odds for cesarean Delivery after adjusting for patient and other Hospital characteristics (P=0.188). Hospital Delivery volume is not an independent predictor of cesarean Delivery in this population.
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Hospital volume and cesarean Delivery among low-risk women in a nationwide sample
Journal of Perinatology, 2018Co-Authors: Mark A Clapp, Alexander Melamed, Kaitlyn E James, Jeffrey L Ecker, Anjali J KaimalAbstract:Objective: We sought to determine if Hospital Delivery volume was associated with a patient’s risk for cesarean Delivery in low-risk women. Study Design: This study retrospectively examines a cohort of 1 657 495 deliveries identified in the 2013 Nationwide Readmissions Database. Hospitals were stratified by Delivery volume quartiles. Low-risk patients were identified using the Society for Maternal–Fetal Medicine definition ( n =845 056). A multivariable logistic regression accounting for Hospital-level clustering was constructed to assess the factors affecting a patient’s odds for cesarean Delivery. Results: The range of cesarean Delivery rates was 2.4–51.2% among low-risk patients, and the median was 16.5% (IQR 12.8–20.5%). The cesarean Delivery rate was higher in the top two-volume-quartile Hospitals (17.4 and 18.2%) compared to the bottom quartiles (16.4 and 16.3%) ( P
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Hospital volume and cesarean Delivery among low-risk women in a nationwide sample
Journal of perinatology : official journal of the California Perinatal Association, 2017Co-Authors: Mark A Clapp, Alexander Melamed, Kaitlyn E James, Jeffrey L Ecker, Anjali J KaimalAbstract:We sought to determine if Hospital Delivery volume was associated with a patient’s risk for cesarean Delivery in low-risk women. This study retrospectively examines a cohort of 1 657 495 deliveries identified in the 2013 Nationwide Readmissions Database. Hospitals were stratified by Delivery volume quartiles. Low-risk patients were identified using the Society for Maternal–Fetal Medicine definition (n=845 056). A multivariable logistic regression accounting for Hospital-level clustering was constructed to assess the factors affecting a patient’s odds for cesarean Delivery. The range of cesarean Delivery rates was 2.4–51.2% among low-risk patients, and the median was 16.5% (IQR 12.8–20.5%). The cesarean Delivery rate was higher in the top two-volume-quartile Hospitals (17.4 and 18.2%) compared to the bottom quartiles (16.4 and 16.3%) (P
David L. B. Schwappach - One of the best experts on this subject based on the ideXlab platform.
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Women's experiences with low-risk singleton in-Hospital Delivery in Switzerland.
Swiss Medical Weekly, 2004Co-Authors: David L. B. Schwappach, Annette Blaudszun, Dieter Conen, Klaus Eichler, M-a Hochreutener, Christian M. KoeckAbstract:OBJECTIVE To assess maternal and neonatal clinical short-term outcomes and women's experiences with singleton low-risk in-Hospital deliveries in a routine care setting. METHODS In 13 community Hospitals in the Cantons of Zurich (10), St. Gallen (2) and Schwyz (1), participating in the "Canton of Zurich Outcomes Project", trained Hospital staff recorded clinical outcome data. Patients completed a questionnaire at the end of the Hospital stay. Over two measurement cycles, 3395 eligible women entered the study and 2079 (61%) returned the questionnaire. RESULTS Sixty-seven percent of women had spontaneous and 11% had assisted vaginal deliveries, 12% delivered by emergency, and 10% by elective Caesarean section. The episiotomy rate in vaginal deliveries was 46% (95% CI 44-48%). Ten percent of neonates had umbilical cord artery pH < or =7.15 (95% CI 9-11%) and Apgar scores at five minutes were < or = 7 in 3% (95% CI 2.5-3.6%). Reporting negative experiences with Hospital care and an insufficient state of knowledge at discharge were strongly associated with mode of Delivery. The top three issues new mothers were most likely to report about feeling little or not informed about were postpartum pelvic floor exercises (22%), management of vaginal bleedings (12%), and alternatives of infant feeding (10%). CONCLUSION In a setting of routine care poor short-term outcomes were rare in women giving birth in Hospitals, and neonates and most mothers were discharged with a level of information that at least ensured a smooth transition to follow-up maternal care. Poor clinical results and patient-reported negative experiences concentrate in few individuals. Restrictive approaches that reduce the frequency of instrumental vaginal Delivery, and routine episiotomy remain an important objective for quality improvement.
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Women's experiences with low-risk singleton in-Hospital Delivery in Switzerland.
Swiss medical weekly, 2004Co-Authors: David L. B. Schwappach, Annette Blaudszun, Dieter Conen, Klaus Eichler, M-a Hochreutener, Christian M. KoeckAbstract:To assess maternal and neonatal clinical short-term outcomes and women's experiences with singleton low-risk in-Hospital deliveries in a routine care setting. In 13 community Hospitals in the Cantons of Zurich (10), St. Gallen (2) and Schwyz (1), participating in the "Canton of Zurich Outcomes Project", trained Hospital staff recorded clinical outcome data. Patients completed a questionnaire at the end of the Hospital stay. Over two measurement cycles, 3395 eligible women entered the study and 2079 (61%) returned the questionnaire. Sixty-seven percent of women had spontaneous and 11% had assisted vaginal deliveries, 12% delivered by emergency, and 10% by elective Caesarean section. The episiotomy rate in vaginal deliveries was 46% (95% CI 44-48%). Ten percent of neonates had umbilical cord artery pH < or =7.15 (95% CI 9-11%) and Apgar scores at five minutes were < or = 7 in 3% (95% CI 2.5-3.6%). Reporting negative experiences with Hospital care and an insufficient state of knowledge at discharge were strongly associated with mode of Delivery. The top three issues new mothers were most likely to report about feeling little or not informed about were postpartum pelvic floor exercises (22%), management of vaginal bleedings (12%), and alternatives of infant feeding (10%). In a setting of routine care poor short-term outcomes were rare in women giving birth in Hospitals, and neonates and most mothers were discharged with a level of information that at least ensured a smooth transition to follow-up maternal care. Poor clinical results and patient-reported negative experiences concentrate in few individuals. Restrictive approaches that reduce the frequency of instrumental vaginal Delivery, and routine episiotomy remain an important objective for quality improvement.