Mode of delivery trends by hospital type: an 18-year comparison of a military hospital with university and community hospitals
To determine the rate of mode of delivery over 18 years in a military teaching hospital as compared to university and community hospitals. From January 1992 to December 2009, we retrospectively calculated yearly rates for mode of delivery from a military hospital, two university hospitals, a communi...
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| Veröffentlicht in: | Military medicine 2014-02, Vol.179 (2), p.169-173 |
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| creator | Dahlke, Joshua D Magann, Everett F Bird, Tommy M Rohloff, Jesse Scardo, James A Morrison, John C |
| description | To determine the rate of mode of delivery over 18 years in a military teaching hospital as compared to university and community hospitals.
From January 1992 to December 2009, we retrospectively calculated yearly rates for mode of delivery from a military hospital, two university hospitals, a community hospital in South Carolina and all community hospitals in Arkansas.
Over the 18-year period, 803,249 deliveries occurred from all hospitals. Overall the cesarean delivery rates have significantly increased across all practice models (22.7% + 0.9 versus 33.0% + 0.9, p = |
| doi_str_mv | 10.7205/MILMED-D-13-00431 |
| format | Article |
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From January 1992 to December 2009, we retrospectively calculated yearly rates for mode of delivery from a military hospital, two university hospitals, a community hospital in South Carolina and all community hospitals in Arkansas.
Over the 18-year period, 803,249 deliveries occurred from all hospitals. Overall the cesarean delivery rates have significantly increased across all practice models (22.7% + 0.9 versus 33.0% + 0.9, p = <0.001). The rate of increase has been greatest in university hospitals (21.8-37%) followed by community hospitals (26.7-32.9%) and the military hospital (19.6-29.2%). The rate of forceps-assisted deliveries has decreased dramatically across all practice models (11.6% + 1.3 versus 1.1% + 0.1, p = <0.001). The decline in forceps use was 6.4 to 1.1% in community hospital, 12.6 to 1.4% in university hospitals, and 15.7 to 0.9% in military hospitals.
The overall cesarean delivery rate has increased in all practice models but less so in the military. Forceps deliveries have dramatically decreased overall especially in the military hospital.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED-D-13-00431</identifier><identifier>PMID: 24491613</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Arkansas ; Armed forces ; Cesarean section ; Childbirth & labor ; Delivery, Obstetric - trends ; Female ; Health facilities ; Hospitals, Community - trends ; Hospitals, Military - trends ; Hospitals, University - trends ; Humans ; Retrospective Studies ; South Carolina ; Teaching hospitals ; Trends ; Vagina</subject><ispartof>Military medicine, 2014-02, Vol.179 (2), p.169-173</ispartof><rights>Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.</rights><rights>Copyright Association of Military Surgeons of the United States Feb 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-8bfc0d4f3de80d9ca753ab5322ddbb9eeca477bec5ad4e8ac45f8dc4a5d31a103</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24491613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dahlke, Joshua D</creatorcontrib><creatorcontrib>Magann, Everett F</creatorcontrib><creatorcontrib>Bird, Tommy M</creatorcontrib><creatorcontrib>Rohloff, Jesse</creatorcontrib><creatorcontrib>Scardo, James A</creatorcontrib><creatorcontrib>Morrison, John C</creatorcontrib><title>Mode of delivery trends by hospital type: an 18-year comparison of a military hospital with university and community hospitals</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>To determine the rate of mode of delivery over 18 years in a military teaching hospital as compared to university and community hospitals.
From January 1992 to December 2009, we retrospectively calculated yearly rates for mode of delivery from a military hospital, two university hospitals, a community hospital in South Carolina and all community hospitals in Arkansas.
Over the 18-year period, 803,249 deliveries occurred from all hospitals. Overall the cesarean delivery rates have significantly increased across all practice models (22.7% + 0.9 versus 33.0% + 0.9, p = <0.001). The rate of increase has been greatest in university hospitals (21.8-37%) followed by community hospitals (26.7-32.9%) and the military hospital (19.6-29.2%). The rate of forceps-assisted deliveries has decreased dramatically across all practice models (11.6% + 1.3 versus 1.1% + 0.1, p = <0.001). The decline in forceps use was 6.4 to 1.1% in community hospital, 12.6 to 1.4% in university hospitals, and 15.7 to 0.9% in military hospitals.
The overall cesarean delivery rate has increased in all practice models but less so in the military. Forceps deliveries have dramatically decreased overall especially in the military hospital.</description><subject>Arkansas</subject><subject>Armed forces</subject><subject>Cesarean section</subject><subject>Childbirth & labor</subject><subject>Delivery, Obstetric - trends</subject><subject>Female</subject><subject>Health facilities</subject><subject>Hospitals, Community - trends</subject><subject>Hospitals, Military - trends</subject><subject>Hospitals, University - trends</subject><subject>Humans</subject><subject>Retrospective Studies</subject><subject>South Carolina</subject><subject>Teaching hospitals</subject><subject>Trends</subject><subject>Vagina</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkcFr2zAUxkVZadKsf0AvQ7DLLlolS4rt3UaSdoWEXjrYTcjSM3GwLU-yO3zp3155Sdux04PH9_ve4_sQumb0a5pQebO73-42a7ImjBNKBWdnaM5yTsmS8V8f0JzSZEkETeUMXYZwoJSJPGMXaJYIkbMomqPnnbOAXYkt1NUT-BH3HlobcDHivQtd1esa92MH37BuMcvICNpj45pO-yq4dkI1bqo6Cv0_yJ-q3-OhnSxD1Y8RthPVxFX_Lgsf0XkZB1yd5gL9vN08rn6Q7cPd_er7lhieJj3JitJQK0puIaM2NzqVXBeSJ4m1RZEDGC3StAAjtRWQaSNkmVkjtLScaUb5An05-nbe_R4g9KqpgoG61i24IagYTM64FDGTBfr8n_TgBt_G7xSTlC-X8dJkyI4q410IHkrV-aqJEShG1VSOOpaj1opx9becyHw6OQ9FA_aNeG2DvwBtEY3C</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Dahlke, Joshua D</creator><creator>Magann, Everett F</creator><creator>Bird, Tommy M</creator><creator>Rohloff, Jesse</creator><creator>Scardo, James A</creator><creator>Morrison, John C</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88F</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Mode of delivery trends by hospital type: an 18-year comparison of a military hospital with university and community hospitals</title><author>Dahlke, Joshua D ; 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From January 1992 to December 2009, we retrospectively calculated yearly rates for mode of delivery from a military hospital, two university hospitals, a community hospital in South Carolina and all community hospitals in Arkansas.
Over the 18-year period, 803,249 deliveries occurred from all hospitals. Overall the cesarean delivery rates have significantly increased across all practice models (22.7% + 0.9 versus 33.0% + 0.9, p = <0.001). The rate of increase has been greatest in university hospitals (21.8-37%) followed by community hospitals (26.7-32.9%) and the military hospital (19.6-29.2%). The rate of forceps-assisted deliveries has decreased dramatically across all practice models (11.6% + 1.3 versus 1.1% + 0.1, p = <0.001). The decline in forceps use was 6.4 to 1.1% in community hospital, 12.6 to 1.4% in university hospitals, and 15.7 to 0.9% in military hospitals.
The overall cesarean delivery rate has increased in all practice models but less so in the military. Forceps deliveries have dramatically decreased overall especially in the military hospital.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>24491613</pmid><doi>10.7205/MILMED-D-13-00431</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Military medicine, 2014-02, Vol.179 (2), p.169-173 |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Arkansas Armed forces Cesarean section Childbirth & labor Delivery, Obstetric - trends Female Health facilities Hospitals, Community - trends Hospitals, Military - trends Hospitals, University - trends Humans Retrospective Studies South Carolina Teaching hospitals Trends Vagina |
| title | Mode of delivery trends by hospital type: an 18-year comparison of a military hospital with university and community hospitals |
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