A statewide initiative to reduce inappropriate scheduled births at 360/7-386/7 weeks' gestation
A statewide initiative to reduce inappropriate scheduled births at 360/7-386/7 weeks' gestation
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DOI：
10.1016/j.ajog.2010.01.044
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发表时间：
2010-03-01
影响因子：
9.8
通讯作者：
Byczkowski, Terri
中科院分区：
文献类型：
--
作者：
Donovan, Edward F.;Lannon, Carole;Byczkowski, Terri
目的：研究设计：20家俄亥俄州妇产科医院收集60天的基线数据，然后选择当地合适的医疗保健改善突破系列干预研究所，以减少计划生育的发生率。对无法识别的出生数据进行集中分析。结果：36（0/7）-38（6/7）周之间无书面医学指征的计划生育率从25%下降到25%，
OBJECTIVE: We sought to reduce scheduled births between 36(0/7)-38(6/7) weeks that lack appropriate medical indication.STUDY DESIGN: Twenty Ohio maternity hospitals collected baseline data for 60 days and then selected locally appropriate Institute for Healthcare Improvement Breakthrough Series interventions to reduce the incidence of scheduled births. Deidentified birth data were analyzed centrally. Rates of scheduled births without a documented indication, birth certificate data, and implementation issues were shared regularly among sites.RESULTS: The rate of scheduled births between 36(0/7)-38(6/7) weeks without a documented medical indication declined from 25% to