The effect of off-hour delivery on severe maternal morbidity: a population-based cohort study.
Background Severe maternal morbidity is an indicator for quality of maternal care. Recently, there has been growing interest in identifying which provision factors affect the quality of maternity care. The extent to off-hour delivery on SMM rates contributes to individual or provision factor in Kore...
| Publicado en: | European Journal of Public Health Vol. 29; no. 6; pp. 1031 - 1037 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140321314&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140321314 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Dec2019 vid: 29 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 140321314 140321314 140321314 10.1093/eurpub/ckz013 140321314 ppf: 1031 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The effect of off-hour delivery on severe maternal morbidity: a population-based cohort study. aug: au: Nam, Jin Young Lee, Sang Gyu Nam, Chung Mo Park, Sohee Jang, Sung In Park, Eun-Cheol affil: Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea sug: subj: Delivery, Obstetric Time Factors Labor Complications Epidemiology Pregnancy Outcomes Maternal Health Services Health Care Delivery Human Pregnancy Female South Korea Retrospective Design Prospective Studies Descriptive Statistics Confidence Intervals Maternal-Child Care Hospitalization Female ab: Background Severe maternal morbidity is an indicator for quality of maternal care. Recently, there has been growing interest in identifying which provision factors affect the quality of maternity care. The extent to off-hour delivery on SMM rates contributes to individual or provision factor in Korea has not been studied. This study aimed to determine the relationship between off-hour delivery and SMM during childbirth hospitalization. Methods This is a population-based retrospective cohort study. Data were extracted from the Korean National Health Insurance Service-National Sample Cohort for 90 072 cases of delivery in Korea between 2003 and 2013. The main outcome was SMM which was determined using the Center for Disease Control and Prevention's algorithm. A generalized estimating equation model with log link was performed for the relationship with SMM and day/time of delivery adjusted covariates. Results Of the 90 072 delivery cases, 2085 (2.31%) had SMM. Women who were on weekdays at night time or on weekend delivery had a higher risk of SMM compared with those who were on weekdays at daytime (RR 1.26, 95% CI 1.10–1.46, and RR 1.58, 95% CI 1.30–1.93, respectively). Conclusion Weekday at night time or weekend delivery was related to the risk of SMM. Policymakers should provide financial support and systematically allocate adequate human resources and labour facilities in vulnerable areas, as well as during weekends and night times to improve the quality of intrapartum and postpartum maternity care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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