Unexpected term NICU admissions: a marker of obstetrical care quality?

American Journal of Obstetrics and Gynecology
Mark A ClappAnjali J Kaimal

Abstract

Unexpected admissions of term neonates to the neonatal intensive care unit and unexpected postnatal complications have been proposed as neonatal-focused quality metrics for intrapartum care. Previous studies have noted significant variation in overall hospital neonatal intensive care unit admission rates; however, little is known about the influence of obstetric practices on these rates or whether variation among unanticipated admissions in low-risk, term neonates can be attributed to systemic hospital practices. The objective of the study was to examine the relative effects of patient characteristics and intrapartum events on unexpected neonatal intensive care unit admissions and to quantify the between-hospital variation in neonatal intensive care unit admission rates among this group of neonates. We performed a retrospective cross-sectional study using data collected as part of the Consortium for Safe Labor study. Women who delivered term (≥37 weeks), singleton, nonanomalous, liveborn infants without an a priori risk for neonatal intensive care unit admission were included. The primary outcome was neonatal intensive care unit admission among this population. Multilevel mixed-effect models were used to calculate adjusted odds...Continue Reading

Citations

Jun 12, 2021·Frontiers in Pediatrics·María Luisa Mayol PérezPaloma Echevarría Pérez
Aug 31, 2019·American Journal of Obstetrics and Gynecology·Jonathan M SnowdenMark A Klebanoff
Sep 6, 2021·American Journal of Obstetrics and Gynecology·Patrick D ThorntonPamela D Pearson

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