A study of pregnancy outcomes in a maternity center and a tertiary care hospital.
This study compares 796 pregnancy outcomes at a maternity center (BMC) with 804 hospital (TJUH) pregnancy outcomes. The samples of pregnant women from the participating institutions were matched on sociodemographic characteristics; analysis of outcomes was performed controlling for medical-obstetric risk. Differences between the institutions were found mainly among women with low intrapartum risk. For these women, neonatal morbidity and length of infant nursery stay were lower at BMC than at TJUH. The percentage of infants with one-minute Apgar scores less than 7 or requiring resuscitation at birth was greater at BMC, but the percentage of infants with five-minute Apgar scores less than 7 as well as neonatal mortality rates did not differ between the two institutions. The number of women with intrapartum or postpartum fever was too small to permit comparison. The study results suggest that care delivered at BMC is safe with regard to the evaluative criteria used.
D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D004522:Educational Status; D005260:Female; D006746:Hospital Bed Capacity, 500 and over; D006748:Hospital Departments / Q000592:standards*; D006784:Hospitals, Teaching; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric; D008427:Maternal Health Services / Q000592:standards*; D009775:Obstetrics and Gynecology Department, Hospital / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care; D010298:Parity; D010414:Pennsylvania; D011247:Pregnancy; D012306:Risk