ArticleObstetrics and gynecology2016
Oregon's Hard-Stop Policy Limiting Elective Early-Term Deliveries: Association With Obstetric Procedure Use and Health Outcomes.
Article in Obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review on the effectiveness of implementation strategies to postpone elective caesarean sections to ≥ 39 + (0-6) weeks of gestation.Systematic reviews · 2021Pooled it
- Financial and regulatory interventions to reduce unnecessary caesarean sections: An updated scoping review.PLOS global public health · 2026Article
- Evaluation of Payer Policies to Reduce Low-Value Medical Device-Based Procedure Use.JAMA health forum · 2025Article
- Uncharted territory: a narrative review of parental involvement in decision-making about late preterm and early term delivery.BMC pregnancy and childbirth · 2023Review
- Article
- Timing of term elective cesarean section and adverse neonatal outcomes: A multi-center retrospective cohort study.PloS one · 2021Article
- Cesarean birth and maternal morbidity among Black women and White women after implementation of a blended payment policy.Health services research · 2020Article
- Reducing unnecessary caesarean sections: scoping review of financial and regulatory interventions.Reproductive health · 2020Article
- Evaluation of a Tennessee statewide initiative to reduce early elective deliveries using quasi-experimental methods.BMC health services research · 2019Article
- Unexpected term NICU admissions: a marker of obstetrical care quality?American journal of obstetrics and gynecology · 2019Article
- Induction of labor and early-onset Sepsis guidelines: impact on NICU admissions in Erie County, NY.Maternal health, neonatology and perinatology · 2019Article
- Shifting Patterns in Cesarean Delivery Scheduling and Timing in Oregon before and after a Statewide Hard Stop Policy.Health services research · 2018Article
- The Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality: An Outcome Evaluation From the US South, 2011 to 2014.American journal of public health · 2018Article
- Early Elective Delivery Disparities between Non-Hispanic Black and White Women after Statewide Policy Implementation.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
- Commented on by
- Commented on byIn Reply.2017
Authors and funding
9 authors.
Funding
Abstract
objectiveTo evaluate the association of Oregon's hard-stop policy limiting early elective deliveries (before 39 weeks of gestation) and the rate of elective early-term inductions and cesarean deliveries and associated maternal-neonatal outcomes.
methodsThis was a population-based retrospective cohort study of Oregon births between 2008 and 2013 using vital statistics data and multivariable logistic regression models. Our exposure was the Oregon hard-stop policy, defined as the time periods prepolicy (2008-2010) and postpolicy (2012-2013). We included all term or postterm, cephalic, nonanomalous, singleton deliveries (N=181,034 births). Our primary outcomes were induction of labor and cesarean delivery at 37 or 38 weeks of gestation without a documented indication on the birth certificate (ie, elective early term delivery). Secondary outcomes included neonatal intensive care unit admission, stillbirth, macrosomia, chorioamnionitis, and neonatal death.
resultsThe rate of elective inductions before 39 weeks of gestation declined from 4.0% in the prepolicy period to 2.5% during the postpolicy period (P<.001); a similar decline was observed for elective early-term cesarean deliveries (from 3.4% to 2.1%; P<.001). There was no change in neonatal intensive care unit admission, stillbirth, or assisted ventilation prepolicy and postpolicy, but chorioamnionitis did increase (from 1.2% to 2.2%, P<.001; adjusted odds ratio 1.94, 95% confidence interval 1.80-2.09).
conclusionsOregon's statewide policy to limit elective early-term delivery was associated with a reduction in elective early-term deliveries, but no improvement in maternal or neonatal outcomes.
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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.