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OBSTETRICS: 1 million deliveries in U.S. hospitals studied

Statistics on over one million deliveries at 355 U.S. hospitals in 2008 and 2009 were studied based on Premier, Inc.’s Perspective database.  This provides a fascinating large-scale look at the obstetrics population in the U.S.  Let’s take a look (I’ve rounded the following numbers off and combined some categories from those given in the original article.)

How old are maternity patients?

  • About half are in their 20s
  • About 10 percent are teenage mothers

What kind of insurance do they have?

  • 42 percent managed care
  • 42 percent Medicaid
  •   8 percent commercial – indemnity
  •   3 percent self pay
  •   6 percent other

How many patients…

  • Delivered by C-section this time? 39 percent
  • Have had a previous C-section?  18 percent
  • Are of advanced maternal age?  16 percent
  • Are delivering prematurely?  8 percent
  • Are obese?  4 percent

What was the median length of stay?

  • 2 days for vaginal delivery
  • 3 days for C-section

What was the hospital risk-adjusted infection rate?

  • 4.1 percent of all deliveries were complicated by infection

The authors found that “risk-adjusted infection rates following childbirth vary considerably across hospitals, and that key structural and organizational hospital features explain only a modest amount of this variation.”

Source: Goff, S.L., Pekow, P.S., and others. (2013, June). Patterns of obstetric infection rates in a large sample of U.S. hospitals. American Journal of Obstetrics & Gynecology, 208(6). Author manuscript free here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3670964/pdf/nihms-443021.pdf  Posted by AHA Resource Center (312) 422.2050, rc@aha.org

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