Impact of a labor and delivery safety bundle on a modified adverse outcomes index

American Journal of Obstetrics and Gynecology
Mary Catherine TolcherAbimbola O Famuyide

Abstract

The Obstetrics Adverse Outcomes Index was designed to measure the quality of perinatal care and includes 10 adverse events that may occur at or around the time of delivery. We hypothesized that adverse outcomes in the labor and delivery suite, including hypoxic ischemic encephalopathy, could be decreased with a combination of interventions, even among high-risk pregnancies. The objective of the study was to evaluate the impact of a labor and delivery care bundle on adverse obstetrics outcomes as measured by a modified Obstetrics Adverse Outcomes Index, Weighted Adverse Outcomes Index, and Severity Index. This is a retrospective cohort study including all women who delivered at our academic, tertiary care institution over a 3 year period of time, before and after the implementation of an intervention to decrease adverse outcomes. Outcome measures consisted of previously reported indices that were modified including the addition of hypoxic ischemic encephalopathy. The adverse outcomes index is a percentage of deliveries with 1 or more adverse events, the weighted adverse outcomes index is the sum of the points assigned to cases with adverse outcomes divided by the number of deliveries, and the severity index is the sum of the adv...Continue Reading

References

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Citations

Nov 27, 2016·American Journal of Obstetrics and Gynecology·Manisha GandhiSteven L Clark
Oct 23, 2019·BMC Pregnancy and Childbirth·Jennifer VanderlaanSusan E Shapiro
Jan 12, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·A RomijnP W Teunissen
Aug 24, 2021·American Journal of Obstetrics & Gynecology MFM·Regan N TheilerMelanie Swift

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