Implications of time of day and day of the week for the outcome of birth
一天中的时间和一周中的某一天对出生结果的影响
基本信息
- 批准号:ES/S010785/1
- 负责人:
- 金额:$ 31万
- 依托单位:
- 依托单位国家:英国
- 项目类别:Research Grant
- 财政年份:2019
- 资助国家:英国
- 起止时间:2019 至 无数据
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
One of our team had been involved in research from the 1970s onwards which showed that the birth of babies was spread unevenly through the days of the week. Our previous project, known as 'Birth Timing', which analysed over seven million births in England and Wales from 2005-2014, was the first national study of both the day and time of births and this new proposal will build on this work.Our research team linked three large sets of routinely collected data to combine mother and baby records from three sources. These were birth registration, birth notification when NHS numbers are allocated to babies, and records about maternity care during labour and birth. A database was created to enable us to analyse the data. Our results showed a regular weekly cycle with numbers of births increasing each day from Mondays to Fridays, lower numbers of births on Saturdays and lowest weekly numbers of births on Sundays. Fewest births occurred at Christmas. Births also varied seasonally, with a peak in late September. When labour involved no medical assistance, numbers of births were highest from midnight to 7am, peaking from 4am to 6am. They were lowest during the day and the hours up to midnight. Planned caesarean births were usually on weekday mornings. Births after induced labour were more likely to occur around midnight on Tuesdays to Saturdays, whether or not any medical assistance was needed, with a peak before public holidays.As the variation in the timing of births by place and type of birth has implications for midwifery and medical staffing and for the organisation of maternity care more generally, further research is needed to use the new database to investigate the implications. We therefore propose research to investigate whether death rates at birth of children and their mothers and varies according to the time of day and day of the week. In addition, we hope to analyse variations in the rates of serious complications. We plan to move beyond the simple subdivision into time inside and outside 'normal working hours' and analyse outcomes at different times of day and night. Asthere are signs that some births are brought forward so that they occur before weekends and public holidays, we plan to analyse the implications of these selection processes.It is also known that rates of planned caesareans and induced labours vary widely between maternity units and the extent of these variations is not explained by differences in the groups of women giving birth. The suggestion is that these differences reflect differences in obstetricians' and midwives' policies. We therefore plan to see how times of birth vary between units and whether they appear to be associated with these differences in policies.
我们的一个团队从20世纪70年代开始就参与了一项研究,该研究表明婴儿的出生在一周中的几天中分布不均匀。我们之前的项目名为“出生时间”,分析了2005年至2014年英格兰和威尔士的700多万名新生儿,是第一个关于出生日期和时间的全国性研究,这项新提案将建立在这项工作的基础上。我们的研究团队将三大组常规收集的数据联系起来,将三个来源的母亲和婴儿记录联合收割机结合起来。这些是出生登记,当NHS号码分配给婴儿时的出生通知,以及分娩和分娩期间的产妇护理记录。建立了一个数据库,使我们能够分析数据。我们的结果显示,出生人数从周一到周五每天都在增加,星期六出生人数较少,星期日出生人数最低。圣诞节出生的婴儿最少。出生率也随季节而变化,高峰在9月下旬。当分娩不涉及医疗援助时,午夜至早上7点的分娩数量最高,凌晨4点至6点达到顶峰。它们在白天和午夜之前的时间最低。计划中的剖腹产通常在工作日的上午进行。引产后的分娩更有可能发生在周二至周六的午夜左右,无论是否需要任何医疗援助,在公共假期前达到高峰。由于出生地点和出生类型的分娩时间变化对助产士和医疗人员以及更普遍的产妇护理组织有影响,需要进一步研究使用新的数据库来调查这些影响。因此,我们建议进行研究,调查儿童及其母亲出生时的死亡率是否因一天中的时间和一周中的日期而异。此外,我们希望分析严重并发症发生率的变化。我们计划超越简单地细分为“正常工作时间”内和“正常工作时间”外的时间,并分析白天和晚上不同时间的结果。由于有迹象表明,一些分娩提前,使他们发生在周末和公共假日之前,我们计划分析这些选择过程的影响,它也是众所周知的,计划剖腹产和引产率之间的产科单位和这些变化的程度是不能解释的差异,妇女群体的分娩。这表明这些差异反映了产科医生和助产士政策的差异。因此,我们计划看看不同单位之间的出生时间如何变化,以及它们是否与这些政策差异有关。
项目成果
期刊论文数量(4)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Neonatal mortality in NHS maternity units by timing and mode of birth: a retrospective linked cohort study.
- DOI:10.1136/bmjopen-2022-067630
- 发表时间:2023-06-13
- 期刊:
- 影响因子:2.9
- 作者:
- 通讯作者:
Involving service users in the Birth Timing project, a data linkage study analysing the timing of births and their outcomes.
- DOI:10.23889/ijpds.v5i3.1366
- 发表时间:2020-11-02
- 期刊:
- 影响因子:0
- 作者:Newburn M;Scanlon M;Plachcinski R;Jill Macfarlane A
- 通讯作者:Jill Macfarlane A
Neonatal mortality in NHS maternity units by timing of birth and method of delivery: a retrospective linked cohort study.
- DOI:10.23889/ijpds.v7i3.2024
- 发表时间:2022-08-25
- 期刊:
- 影响因子:0
- 作者:
- 通讯作者:
OP92 Neonatal mortality in NHS maternity units by timing of birth and mode of birth: a retrospective linked cohort study
OP92 按出生时间和出生方式划分的 NHS 产科新生儿死亡率:一项回顾性关联队列研究
- DOI:10.1136/jech-2023-ssmabstracts.91
- 发表时间:2023
- 期刊:
- 影响因子:0
- 作者:Grollman C
- 通讯作者:Grollman C
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Alison Macfarlane其他文献
Statistics and policy making in the maternity services in England and Wales
- DOI:
10.1016/s0266-6138(85)80033-4 - 发表时间:
1985-09-01 - 期刊:
- 影响因子:
- 作者:
Alison Macfarlane - 通讯作者:
Alison Macfarlane
Birth weight and hospital admission before the age of 2 years.
出生体重和 2 岁前入院情况。
- DOI:
10.1136/adc.67.7.900 - 发表时间:
1992 - 期刊:
- 影响因子:5.2
- 作者:
Lesley Mutch;Hazel Ashurst;Alison Macfarlane - 通讯作者:
Alison Macfarlane
Collaborative survey of perinatal loss in planned and unplanned home births
- DOI:
10.1016/s1462-9410(05)80045-2 - 发表时间:
1997-06-01 - 期刊:
- 影响因子:
- 作者:
Alison Macfarlane - 通讯作者:
Alison Macfarlane
Alison Macfarlane的其他文献
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{{ truncateString('Alison Macfarlane', 18)}}的其他基金
Linkage, analysis and dissemination of national birth and maternity data for England and Wales.
英格兰和威尔士全国出生和生育数据的链接、分析和传播。
- 批准号:
MC_G0801801 - 财政年份:2009
- 资助金额:
$ 31万 - 项目类别:
Intramural
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