Regional variations in childbirth interventions and their correlations with adverse outcomes, birthplace and care provider: A nationwide explorative study

PloS One
Anna E Seijmonsbergen-SchermersAnk de Jonge

Abstract

Variations in childbirth interventions may indicate inappropriate use. Most variation studies are limited by the lack of adjustments for maternal characteristics and do not investigate variations in adverse outcomes. This study aims to explore regional variations in the Netherlands and their correlations with referral rates, birthplace, interventions, and adverse outcomes, adjusted for maternal characteristics. In this nationwide retrospective cohort study, using a national data register, intervention rates were analysed between twelve regions among single childbirths after 37 weeks' gestation in 2010-2013 (n = 614,730). These were adjusted for maternal characteristics using multivariable logistic regression. Primary outcomes were intrapartum referral, birthplace, and interventions used in midwife- and obstetrician-led care. Correlations both between primary outcomes and between adverse outcomes were calculated with Spearman's rank correlations. Intrapartum referral rates varied between 55-68% (nulliparous) and 20-32% (multiparous women), with a negative correlation with receiving midwife-led care at the onset of labour in two-thirds of the regions. Regions with higher referral rates had higher rates of severe postpartum haemor...Continue Reading

References

Mar 8, 1998·The American Journal of Managed Care
Aug 21, 2003·Social Science & Medicine·Judith D de JongGert P Westert
Mar 31, 2004·Obstetrics and Gynecology·Andrea SartoreSecondo Guaschino
Feb 3, 2005·Acta Obstetricia Et Gynecologica Scandinavica·Wing Yee FokTze Kin Lau
Jun 16, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·M P Amelink-VerburgS E Buitendijk
Nov 6, 2009·American Journal of Obstetrics and Gynecology·Shunji Suzuki, Misao Satomi
Nov 7, 2012·BMC Pregnancy and Childbirth·Jennifer E LutomskiMona T Lydon-Rochelle
Feb 19, 2013·Archives of Gynecology and Obstetrics·Antje PetersenMechthild M Gross
May 28, 2013·Archives of Gynecology and Obstetrics·Lin Chieh WuTruls Østbye
Nov 1, 2013·The Cochrane Database of Systematic Reviews·Gina WesthoffJorge E Tolosa
Dec 19, 2013·Birth·A E Seijmonsbergen-SchermersA de Jonge
Mar 14, 2014·The New England Journal of Medicine·Aniket D KulkarniEli Y Adashi
May 3, 2014·Clinical Obstetrics and Gynecology·Joshua P VogelMarleen Temmerman
Jun 3, 2014·BMC Pregnancy and Childbirth·Ellen BlixHelena E Lindgren
Nov 8, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Antonella CromiFabio Ghezzi
Sep 14, 2015·Women and Birth : Journal of the Australian College of Midwives·Sandra HealyCatriona Kennedy
Jan 17, 2016·Journal of Midwifery & Women's Health·Jill Alliman, Julia C Phillippi
Mar 10, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Béatrice BlondelUNKNOWN Euro-Peristat Scientific Committee
Apr 29, 2016·The Cochrane Database of Systematic Reviews·Jane SandallDeclan Devane
Jan 13, 2017·Lancet·Shannon BrownleeDeborah Korenstein
Apr 7, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·A de JongeF G Schellevis
Jun 14, 2017·The Cochrane Database of Systematic Reviews·Vigdis AasheimMirjam Lukasse
Jun 2, 2018·BMC Pregnancy and Childbirth·A E Seijmonsbergen-SchermersA De Jonge
Jun 6, 2018·BMC Pregnancy and Childbirth·Karine GoueslardCatherine Quantin

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Citations

Nov 24, 2020·JMIR Research Protocols·Nina H PeterwerthRainhild Schäfers

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Methods Mentioned

BETA
Caesarean section

Software Mentioned

AROM
SPSS Statistics

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