Length of stay following cesarean sections: A population based study in the Friuli Venezia Giulia region (North-Eastern Italy), 2005-2015

PloS One
Luca CegolonFabio Barbone

Abstract

Births by cesarean section (CS) usually require longer recovery time, and as a result women remain hospitalized longer following CS than vaginal delivery (VD). A number of strategies have been proposed to reduce avoidable health care costs associated with childbirth. Among these, the containment of length of hospital stay (LoS) has been identified as an important quality indicator of obstetric care and performance efficiency of maternity centres. Since improvement of obstetric care at hospital level needs quantitative evidence, we compared the maternity services of an Italian region on LoS post CS. We conducted a population-based study in Friuli Venezia Giulia (FVG), a region of North-Eastern Italy, collecting data from all its 12 maternity centres (coded from A to K) during 2005-2015. We fitted a multivariable logistic regression using LoS as a binary outcome, higher/lower than the international early discharge (ED) cutoffs for CS (4 days), controlling for hospitals as well as several factors related to the clinical conditions of the mothers and the newborn, the obstetric history and socio-demographic background. Results were expressed as adjusted odds ratios (aOR) with 95% confidence interval (95%CI). Population attributable ...Continue Reading

References

Nov 14, 1997·Obstetrics and Gynecology·K E Grullon, D A Grimes
Oct 28, 1999·Journal of Health Economics·J GruberD Mayzlin
Mar 29, 2002·Health Economics·E Kathleen AdamsRobert Merritt
Oct 18, 2005·BMC Pregnancy and Childbirth·Susan WattPaul Krueger
Feb 14, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shiliang LiuUNKNOWN Maternal Health Study Group of the Canadian Perinatal Surveillance System
Feb 17, 2007·Paediatric and Perinatal Epidemiology·Ana P BetránMarsden Wagner
Mar 3, 2007·Obstetrics and Gynecology·Eugene DeclercqLinda J Heffner
Apr 4, 2008·The New England Journal of Medicine·Susan Y ChuMark C Hornbrook
Sep 22, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·M Sánchez LunaUNKNOWN Comisión de Estándares de la Sociedad Española de Neonatología
Sep 26, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pascal H E TeeuwenA J A Bremers
Jul 6, 2010·Journal of Pediatric Gastroenterology and Nutrition·Enrico BertinoSilvano Milani
Sep 23, 2010·Obstetrics and Gynecology·Sallie S OliphantJerry L Lowder
Jan 27, 2011·BMJ : British Medical Journal·Maria Regina TorloniMario Merialdi
Feb 15, 2011·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Anne M Fink
Jan 25, 2012·Bulletin of the World Health Organization·Xing Lin FengCarine Ronsmans
Oct 3, 2012·Australian and New Zealand Journal of Public Health·Jane B FordChristine L Roberts
Mar 28, 2013·BMC Pregnancy and Childbirth·Maria Regina TorloniMario Merialdi
Oct 12, 2013·Bulletin of the World Health Organization·Inke Mathauer, Friedrich Wittenbecher
Oct 25, 2013·Applied Health Economics and Health Policy·Stavros Petrou, Kamran Khan
Feb 14, 2014·JAMA Surgery·Melanie S MorrisMary T Hawn
Apr 11, 2014·BMC Pregnancy and Childbirth·Françoise VendittelliDidier Lémery
Jan 17, 2015·American Journal of Perinatology·Yair J BlumenfeldAlexander J Butwick
Mar 4, 2015·The American Journal of Clinical Nutrition·Hong-tian LiJian-meng Liu
Jul 1, 2017·Anesthesia, Essays and Researches·Aparna Abhijit BagleGayatri Khanvilkar
May 8, 2018·American Journal of Obstetrics and Gynecology·Steven L ClarkG D Hankins

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Methods Mentioned

BETA
cesarean section
SGA

Software Mentioned

Stata

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