ArticleJournal of perinatology : official journal of the California Perinatal Association2019
Hospital contribution to variation in rates of vaginal birth after cesarean.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The trial behind it
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Who cites it
12 citing papers in PubMed.
- Article
- Acculturation, Acculturative Stress, Experience of Discrimination, and Cesarean Birth in Mexican American Women.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2023Article
- Recent trends in term trial of labor after cesarean by number of prior cesarean deliveries.AJOG global reports · 2023Article
- Article
- Reduction in Cesarean Delivery Rates Associated With a State Quality Collaborative in Maryland.Obstetrics and gynecology · 2021Article
- Demographic, Socioeconomic, Health Systems, and Geographic Factors Associated with Vaginal Birth After Cesarean: An Analysis of 2017 U.S. Birth Certificate Data.Maternal and child health journal · 2021Article
- Spontaneous vaginal birth varies significantly across US hospitals.Birth (Berkeley, Calif.) · 2021Article
- A Retrospective Study of the Association of Repeated Attempts at Trial of Labor After Cesarean Birth on Maternal and Neonatal Outcomes.International journal of women's health · 2021Article
- Patterns of Postpartum Ambulatory Care Follow-up Care Among Women With Hypertensive Disorders of Pregnancy.Journal of the American Heart Association · 2020Article
- Factors obstetricians, family physicians and midwives consider when counselling women about a trial of labour after caesarean and planned repeat caesarean: a qualitative descriptive study.BMC pregnancy and childbirth · 2020Article
- Women's Perceptions of Barriers and Facilitators to Vaginal Birth After Cesarean in the United States: An Integrative Review.Journal of midwifery & women's health · 2020Review
- Low risk pregnancies after a cesarean section: Determinants of trial of labor and its failure.PloS one · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo determine the influence of delivery hospital on the rate of vaginal birth after cesarean (VBAC). STUDY
designThis retrospective cohort study used claims data from Blue Cross and Blue Shield of Michigan. Women with a prior cesarean and a singleton livebirth between 2012 and 2016 were included. We calculated the hospital-specific risk-standardized VBAC rates and median odds ratio as a measure of variation.
resultHospital-level adjusted rates varied nearly tenfold (3.7%-35.5%). Compared to the lowest volume hospitals (1st quartile), the likelihood of VBAC increased for those in the 2nd (adjusted OR 2.75 [95% CI 1.23-6.17]), 3rd (adjusted OR 3.73 [95% CI 1.59-8.75]), and 4th quartiles (adjusted OR 2.9 [95% CI 1.11-7.72]). The median OR suggested significant variation by hospital after adjustment.
conclusionThe delivery hospital itself explains a large amount of the variation in rates of VBAC after adjustment for patient and hospital characteristics.
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