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Volume 202, Issue 3 , Pages 243.e1-243.e8 , March 2010

A statewide initiative to reduce inappropriate scheduled births at 36^0/7–38^6/7 weeks' gestation

Presented orally at the 30th Annual Meeting of the Society for Maternal-Fetal Medicine, Chicago, IL, Feb. 1-6, 2010.

Received 21 November 2009 ,Revised 21 December 2009 ,Accepted 19 January 2010.

Aggregate report
Percent of scheduled deliveries at 36^0/7-38^6/7 weeks without medical or obstetric indication documented.
Ohio Perinatal Quality Collaborative Writing Committee. A statewide initiative t

Aggregate report
Percent of scheduled deliveries at 36^0/7-38^6/7 weeks without medical or obstetric indication documented.
Ohio Perinatal Quality Collaborative Writing Committee. A statewide initiative to reduce inappropriate scheduled births. Am J Obstet Gynecol 2010.
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Percent of births at 36-38 weeks induced without medical or obstetric indicationArrow indicates OPQC startup; dotted line indicates aggregate rate of participants; ______ line indicates the mean rate;

Percent of births at 36-38 weeks induced without medical or obstetric indication
Arrow indicates OPQC startup; dotted line indicates aggregate rate of participants; ______ line indicates the mean rate; - - - - - line indicates control limits of the rate.
Ohio Perinatal Quality Collaborative Writing Committee. A statewide initiative to reduce inappropriate scheduled births. Am J Obstet Gynecol 2010.
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Gestational age distribution of births at Ohio Perinatal Quality Collaborative member hospitals, by monthThe proportion of births at 36-38 weeks fell from 0.3329 before intervention (Jan. 2006-Aug. 20

Gestational age distribution of births at Ohio Perinatal Quality Collaborative member hospitals, by month
The proportion of births at 36-38 weeks fell from 0.3329 before intervention (Jan. 2006-Aug. 2008) to 0.3076 postintervention. The proportion at 39-plus weeks increased from 0.5637 to 0.5917. The χ² probabilities for 36-38 and 39-plus are both < 0.0001. 2% decrease in births 36^0/7 to 38^6/7 weeks and 2% increase in births 39^0/7 to 41^6/7 weeks. Approximately 1000 births moved to >39^0/7 weeks.
Ohio Perinatal Quality Collaborative Writing Committee. A statewide initiative to reduce inappropriate scheduled births. Am J Obstet Gynecol 2010.
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Supported in part by Grant no. 1U0CMS030227/01 from the Center for Medicare and Medicaid Services administered by the Ohio Department of Job and Family Services.

Cite this article as: The Ohio Perinatal Quality Collaborative Writing Committee. A statewide initiative to reduce inappropriate scheduled births at 36^0/7–38^6/7 weeks' gestation. Am J Obstet Gynecol 2010;202:243.e1-8.

Reprints: Jay D. Iams, MD, Division of Maternal Fetal Medicine, The Ohio State University Medical Center, 395 W. 12 Ave., Fifth Floor, Columbus, OH 43210-1267. jay.iams@osumc.edu.

PII: S0002-9378(10)00074-8

doi: 10.1016/j.ajog.2010.01.044

« Previous Next » American Journal of Obstetrics & Gynecology
Volume 202, Issue 3 , Pages 243.e1-243.e8 , March 2010