Outcomes of Nulliparous Women with Spontaneous Labor Onset Admitted to Hospitals in Pre‐active versus Active Labor

Neal, Jeremy L.

doi:10.1111/jmwh.12244

Cited by 5 publications

(3 citation statements)

References 33 publications

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“…Finally, a study involving nurses, physicians, and new mothers found that all three groups believed nursing care was critical to maternal and newborn outcomes, including caesarean and breastfeeding rates 42 . Other studies have reported that changes in hospital policy, especially regarding labor definitions, are associated with decreased rates of cesarean birth 21,43‐46 . For example, defining active labor as starting at 6 cm, rather than 4 cm, and allowing longer lengths of labor (especially for nulliparous women and women with an epidural) are associated with increased rates of SVB 45,46 .…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have reported that changes in hospital policy, especially regarding labor definitions, are associated with decreased rates of cesarean birth 21,43‐46 . For example, defining active labor as starting at 6 cm, rather than 4 cm, and allowing longer lengths of labor (especially for nulliparous women and women with an epidural) are associated with increased rates of SVB 45,46 . Another body of research indicates that midwife‐led care and labor support are associated with increased rates of SVB 22,23 …”

Section: Discussionmentioning

confidence: 99%

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Spontaneous vaginal birth varies significantly across US hospitals

Clark

Lake

2020

Birth

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Background Birth is the most common reason for hospitalization in the United States. Hospital variation in maternal outcomes is an important indicator of health care quality. Spontaneous vaginal birth (SVB) is the most optimal birth outcome for the majority of mothers and newborns. The purpose of this study was to examine hospital‐level variation in SVB overall and among low‐risk women in a four‐state sample representing 25% of births in the United States in 2016. Methods Women giving birth in California, Pennsylvania, New Jersey, and Florida were identified in 2016 state discharge abstracts. Patient data were merged with hospital data from the American Hospital Association's (AHA) 2016 Annual Survey. Overall and low‐risk SVB rates were calculated for each hospital in the sample and stratified by bed size, teaching status, rurality, birth volume, and state. Results Our final sample included 869 681 women who gave birth in 494 hospitals. The mean overall SVB rate in the sample was 61.1%, ranging from 16.8% to 79.9%. The mean low‐risk SVB rate was 78% and ranged from 34.6% to 93.3%. Variation in SVB rates cut across all the hospital structural characteristic strata. Discussion The wide variation in SVB rates indicates significant room for improvement in this maternal quality metric. Our finding, that hospitals of all types and locations had both low and high SVB rates, suggests that excellent maternal outcomes are possible in all hospital settings. The variation in SVB rates across hospitals warrants research into modifiable hospital factors that may be influencing SVB rates.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spontaneous vaginal birth varies significantly across US hospitals

Clark

Lake

2020

Birth

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“…Neal et al [8] studied the outcome of nulliparous women with spontaneous onset of labor in US population. They included 114 women in pre-active labor.…”

Section: Discussionmentioning

confidence: 99%

Labor Pattern Among Primigravida in Local Population

Pitchaimuthu

Bhaskaran

2017

J Obstet Gynecol India

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Objectives In this study, we tried to make the customized labor curve by studying the labor pattern among the primigravidas and we compared the cervicograph with Zhang's and Suzuki's curves. This study may be a motivator for future research to create own labor norms for our Indian population which may help in reducing the cesarean section rates, principally in primigravidas. Materials and Methods It was a prospective observational study, which included 156 primigravidas with uncomplicated term singleton pregnancy with spontaneous onset and progression of labor, who had normal vaginal delivery with good maternal and neonatal outcome. Results The shape of the labor curve of this study was similar to Zhang' and Suzuki-Horiuchi's curves which had slower progression. The active phase started from 5 to

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A balancing act in an unknown territory: A metasynthesis of first-time mothers׳ experiences in early labour

et al. 2015

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A balancing act in an unknown territory: A metasynthesis of first-time mothers' experiences in early labour, Midwifery, http://dx.doi.org/10. 1016/j.midw.2014.11.007 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A metasynthesis of first-time mothers' experiences in early labour

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Outcomes of Nulliparous Women with Spontaneous Labor Onset Admitted to Hospitals in Pre‐active versus Active Labor

Cited by 5 publications

References 33 publications

Spontaneous vaginal birth varies significantly across US hospitals

Spontaneous vaginal birth varies significantly across US hospitals

Labor Pattern Among Primigravida in Local Population

A balancing act in an unknown territory: A metasynthesis of first-time mothers׳ experiences in early labour

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