Impact of Obstetrician/Gynecologist Hospitalists on Quality of Obstetric Care (Cesarean Delivery Rates, Trial of Labor After Cesarean/Vaginal Birth After Cesarean Rates, and Neonatal Adverse Events).
Care via obstetric hospitalists continues to expand, quickly becoming an integral part of labor and delivery management in urban and suburban areas. Overall lower cesarean delivery rates have been found with obstetric hospitalist care. Continuous 24-hour coverage of labor units has displayed lower rates of neonatal adverse events and likely reduces time in decision to delivery. Further study is needed on maternal and neonatal outcomes to corroborate earlier observations, and to closely examine the type of obstetric hospitalist model being observed to aid in planning the ideal deployment of providers in this workforce of the future.
High Risk Pregnancy Center, 2011 Pinto Lane, Suite 200, Las Vegas, NV 89106, USA. Electronic address: bki@hrpregnancy.com.
Brian K
BK
Iriye
D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D020445:Hospitalists / Q000706:statistics & numerical data*; D006801:Humans; D061214:Patient Safety / Q000592:standards*; D011247:Pregnancy; D058996:Quality Improvement / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards; D014219:Trial of Labor; D014481:United States; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data*
Cesarean delivery; Hospitalist; Laborist; TOLAC; VBAC; Value-based care