ArticleAmerican journal of obstetrics and gynecology2012
The association between hospital obstetrical volume and maternal postpartum complications.
Article in American journal of obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.
- Incidence of maternal peripartum infection: A systematic review and meta-analysis.PLoS medicine · 2019Pooled it
- Implementing risk-appropriate maternity care-based triage model at a tertiary care teaching institute: an organisational quality improvement initiative to optimise risk and resources.BMJ global health · 2025Article
- Exploring the influence of medical staffing and birth volume on observed-to-expected cesarean deliveries: a panel data analysis of integrated obstetric and gynecological departments in Germany.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Obstetric Outcomes by Hospital Volume of Operative Vaginal Delivery.JAMA network open · 2025Article
- Article
- The obstetrics comorbidity index as a predictive tool for risk-appropriate maternal care.BMC pregnancy and childbirth · 2024Article
- Synthesis of evidence for managing hypertensive disorders of pregnancy in low middle-income countries: a scoping review.BMC pregnancy and childbirth · 2024Article
- The implications of using maternity care deserts to measure progress in access to obstetric care: a mixed-integer optimization analysis.BMC health services research · 2024Article
- Intrapartum Quality of Care among Healthy Women: A Population-Based Cohort Study in an Italian Region.International journal of environmental research and public health · 2024Article
- Provider Attitudes on Regionalization of Maternity Care: A National Survey.Maternal and child health journal · 2021Article
- Risk factors for postpartum readmission among women after having a stillbirth.American journal of obstetrics & gynecology MFM · 2021Article
- Busy day effect on intrapartum adverse maternal outcomes - a population-based study of 601 247 singleton deliveries.BMC pregnancy and childbirth · 2021Article
- Impact of shortened length of stay for delivery on the required bed capacity in maternity services: results from forecast analysis on administrative data.BMC health services research · 2019Article
- Obstetric Patients with Repetitious Hospital Location Transfers Have Prolonged Stays.Proceedings. IEEE International Conference on Healthcare Informatics · 2019Article
- Referral patterns through the lens of health facility readiness to manage obstetric complications: national facility-based results from Ghana.Reproductive health · 2019Article
- The quality of skilled birth attendants in Nepal: High aspirations and ground realities.PloS one · 2019Observational
- Article
- Patient-, Hospital-, and Neighborhood-Level Factors Associated with Severe Maternal Morbidity During Childbirth: A Cross-Sectional Study in New York State 2013-2014.Maternal and child health journal · 2019Article
- An evaluation by the Norwegian Health Care Supervision Authorities of events involving death or injuries in maternity care.Acta obstetricia et gynecologica Scandinavica · 2018Article
- Severe maternal morbidity and related hospital quality measures in Maryland.Journal of perinatology : official journal of the California Perinatal Association · 2018Observational
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe purpose of this study was to examine the relationship between delivery volume and maternal complications. STUDY
designWe used administrative data to identify women who had been admitted for childbirth in 2006. Hospitals were stratified into deciles that were based on delivery volume. We compared composite complication rates across deciles.
resultsWe evaluated 1,683,754 childbirths in 1045 hospitals. Decile 1 and 2 hospitals had significantly higher rates of composite complications than decile 10 (11.8% and 10.1% vs 8.5%, respectively; P < .0001). Decile 9 and 10 hospitals had modestly higher composite complications as compared with decile 6 (8.8% and 8.5% vs 7.6%, respectively; P < .0001). Sixty percent of decile 1 and 2 hospitals were located within 25 miles of the nearest greater volume hospital.
conclusionWomen who deliver at very low-volume hospitals have higher complication rates, as do women who deliver at exceedingly high-volume hospitals. Most women who deliver in extremely low-volume hospitals have a higher volume hospital located within 25 miles.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.