ArticleAmerican journal of obstetrics and gynecology2016
Hospital delivery volume, severe obstetrical morbidity, and failure to rescue.
Article in American journal of obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Concept Analysis on Failure to Rescue in Maternal Health: Implications for Practice and Policy.Birth (Berkeley, Calif.) · 2025Pooled it
- Social Determinants of Pregnancy-Related Mortality and Morbidity in the United States: A Systematic Review.Obstetrics and gynecology · 2020Pooled it
- Ranked Severe Maternal Morbidity Index for Population-Level Surveillance by Mode of Delivery.Journal of women's health (2002) · 2026Article
- Hospital birth volume and rurality: Associations with pregnancy outcomes among individuals with chronic hypertension.Pregnancy (Hoboken, N.J.) · 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
- Reduced odds of severe maternal morbidity associated with the US Affordable Care Act dependent coverage provision.American journal of obstetrics & gynecology MFM · 2025Article
- Associations between Health-Related Social Needs and Postpartum Linkage to Care.American journal of preventive medicine · 2025Article
- [The Effect of Service Concentration on Outcome Quality in Obstetrics Departments - An Empirical Analysis of Newborn Mortality in German Hospitals].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2025Article
- Maternal morbidity in postpartum severe preeclampsia by obstetric delivery volume.American journal of obstetrics & gynecology MFM · 2024Article
- State-Level Indicators of Structural Racism and Severe Adverse Maternal Outcomes During Childbirth.Maternal and child health journal · 2024Article
- Neighborhood gentrification, displacement, and severe maternal morbidity in California.Social science & medicine (1982) · 2023Article
- A Comparison of Obstetric Interventions and Outcomes Between Black and White Patients at an Urban Tertiary Medical Center.Reproductive sciences (Thousand Oaks, Calif.) · 2023Observational
- Maternal sepsis in pregnancy and the puerperal periods: a cross-sectional study.Frontiers in medicine · 2023Article
- Examining the Ratio of Obstetric Beds to Births, 2000-2019.Journal of community health · 2022Article
- The causal effect of delivery volume on severe maternal morbidity: an instrumental variable analysis in Sichuan, China.BMJ global health · 2022Article
- Comorbidity, poverty and social vulnerability as risk factors for mortality in pregnant women with confirmed SARS-CoV-2 infection: analysis of 13 062 positive pregnancies including 176 maternal deaths in Mexico.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2022Article
- Birth Volume and Geographic Distribution of US Hospitals With Obstetric Services From 2010 to 2018.JAMA network open · 2021Article
- Place of birth and outcomes associated with large volume transfusion: an observational study.BMC pregnancy and childbirth · 2021Observational
- Changing the Narrative and Accelerating Action to Reduce Racial Inequities in Maternal Mortality.American journal of public health · 2021Article
- Provider Attitudes on Regionalization of Maternity Care: A National Survey.Maternal and child health journal · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundIn the setting of persistently high risk for maternal death and severe obstetric morbidity, little is known about the relationship between hospital delivery volume and maternal outcomes.
objectiveThe objectives of this analysis were (1) to determine maternal risk for severe morbidity during delivery hospitalizations by hospital delivery volume in the United States and (2) to characterize, by hospital volume, the risk for death in the setting of severe obstetric morbidity, a concept known as failure to rescue. STUDY
designThis cohort study evaluated 50,433,539 delivery hospitalizations across the United States from 1998-2010. The main outcome measures were (1) severe morbidity that was defined as a composite of any 1 of 15 diagnoses that are representative of acute organ injury and critical illness and (2) failure to rescue that was defined as death in the setting of severe morbidity.
resultsThe prevalence of severe morbidity rose from 471.2-751.5 cases per 100,000 deliveries from 1998-2010, which was an increase of 59.5%. Failure to rescue was highest in 1998 (1.5%), decreased to 0.6% in 2007, and rose to 0.9% in 2010. In models that were adjusted for comorbid risk and hospital factors, both low and high annualized delivery volume were associated with increased risk for failure to rescue and severe morbidity. However, the relative importance of hospital volume for both outcomes compared with other factors was relatively small.
conclusionAlthough low-and high-delivery volume are associated with increased risk for both failure to rescue and severe maternal morbidity, other factors, in particular characteristics of individual centers, may be more important in the determination of outcomes.
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