Consortium on Safe Labor

一个由12家临床机构(19家医院)组成的联盟，分布在美国妇产科医师学院的所有9个学区，提供电子产科、分娩和新生儿数据，以创建一个包含20多万次分娩的围产期数据库。选定的信息从医院数据库下载，并以非识别格式传输到数据协调中心，以进行数据审计、清理、重新编码和汇编。已取消识别的数据库将用于辅助数据分析，以回答以下问题： 在美国，直接的剖腹产做法是什么？我们如何才能降低剖宫产率？ 当代人口的劳动模式是什么？如何界定正常分娩和异常分娩？ 什么时候是过期分娩的最佳剖宫产时间？ 这些问题的答案可能具有重要的临床意义。

A consortium of 12 clincial institutions (19 hospitals) located in all nine districts of the American College of Obstetricians and Gynecologists in the U.S. provided electronic obstetric, labor and newborn data to create a perinatal database with more than 200,000 deliveries. Selected information were downloaded from the hospital databases and transferred in a de-identified format to the Data Coordinating Center for data auditing, cleaning, recoding and compilation. The de-identified database will be used for secondary data analyses to answer the following questions: What is the currect cesarean delivery practice in the U.S.? How can we reduce the cesarean delivery rate? What is the labor pattern in contemporary population? How to define normal and abnormal labor? When is the best time to perform a cesarean delivery in protracted labor? Answers to these questions may have important clinical implications.