Journal
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
Volume 162, Issue 2, Pages 693-702Publisher
WILEY
DOI: 10.1002/ijgo.14725
Keywords
cross-sectional study; diagnosis procedure combination hospital case volume; maternal comorbidities; maternal end-organ injury
Categories
Ask authors/readers for more resources
This study clarifies the relationship between the number of deliveries and maternal outcomes in Japan, showing a higher frequency of pulmonary embolism in hospitals with a low number of deliveries. The findings suggest an association between hospital case volume and preventable complications.
ObjectiveTo clarify the relationship between the number of deliveries and maternal outcomes in Japan, considering the declining birth rate and the evidence that hospitals with few deliveries have medical safety issues. MethodsHospitalizations for deliveries were analyzed using the Diagnosis Procedure Combination database from April 2014 to March 2019, after which maternal comorbidities, maternal end-organ injury, medical treatment during hospitalization, and hemorrhage volume during delivery were compared. Hospitals were divided into four groups based on the number of deliveries per month. ResultsA total of 792 379 women were included in the analysis, among whom 35 152 (4.4%) received blood transfusions, with a median blood loss of 1450 mL during delivery. Regarding complications, pulmonary embolism was significantly more frequent in hospitals with the lowest number of deliveries. ConclusionUsing a Japanese administrative database, this study suggests an association between hospital case volume and the occurrence of preventable complications, such as pulmonary embolisms.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available