Hospital Annual Delivery Volume and Presence of Graduate Medical Education Influence Mode of Delivery after Stillbirth.

Abstract:

OBJECTIVES:To evaluate the statewide experience in mode of delivery for pregnancies complicated by stillbirth by annual delivery volume and presence of graduate medical education programs. METHODS:This is a descriptive study of all stillbirths without known congenital anomalies or aneuploidy born in our state from July 1, 2015 to June 30, 2019. Stillbirths were ascertained by the State Reproductive Health Monitoring System, a population-based surveillance system. Stillbirths were identified by the State Reproductive Health Monitoring System from medical facilities and fetal death certificates; trained staff abstracted records. All of the stillbirths with a gestational age of >20 weeks or a birth weight of >500 g if birth weight was unknown and without congenital anomalies or aneuploidy were eligible for this study. RESULTS:There were 861 stillbirths from July 2015 through June 2019, 75 (8.7%) of which were delivered by cesarean section. Low-volume hospitals (<1000 deliveries) experienced a higher proportion of their stillbirths delivered by cesarean compared with high-volume hospitals (>1000 deliveries; 13.4% vs 5.5%; P < 0.0001). Before adjusting for maternal characteristics, stillbirths delivered at high-volume hospitals had a 59% lower risk of delivery by cesarean section compared with those delivered at low-volume hospitals (relative risk [RR] 0.41, 95% confidence interval 0.20-0.86, P = 0.02). The cesarean cohort had a higher proportion of Black mothers (44% vs 31.3%, P = 0.025), greater parity (P < 0.0001), and greater gravidity (P < 0.0001) compared with the vaginal group. The gestational age at delivery for stillbirths delivered by cesarean was much higher compared with those who were delivered vaginally (34.8 weeks vs 28.6 weeks; P < 0.0001). The RR of the cesarean delivery of a stillbirth at teaching institutions compared with nonteaching institutions was significantly reduced (RR 0.45, 95% confidence interval 0.28-0.73, P = 0.0011). CONCLUSIONS:Annual hospital delivery volumes and residency teaching programs in obstetrics influence the mode of delivery in the management of stillbirth. Advancing gestational age, Black race, and parity are associated with an increased risk of cesarean delivery after stillbirth.

journal_name

South Med J

journal_title

Southern medical journal

authors

Ramseyer AM,Whittington JR,Magann EF,Warford B,Ounpraseuth S,Nembhard WN

doi

10.14423/SMJ.0000000000001180

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

623-628

issue

12

eissn

0038-4348

issn

1541-8243

pii

SMJ50868

journal_volume

113

pub_type

杂志文章
  • Endocrine metabolic emergencies.

    abstract::Endocrine metabolic emergencies are common clinical entities seen by most health care professionals in acute care medicine. Except for cardiopulmonary arrest, few situations require such rapid institution of immediate drug therapy to reverse life-threatening metabolic imbalances. To safely guide patients through these...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198402000-00021

    authors: Rush DR,Hamburger SC

    更新日期:1984-02-01 00:00:00

  • Assessment of therapeutic plasmapheresis in demyelinating neurologic disorders.

    abstract::Considerable controversy exists with regard to therapeutic efficacy of plasmapheresis in the immune-mediated demyelinating disorders of the peripheral and central nervous system: acute inflammatory polyneuropathy (Guillain-Barré syndrome), chronic inflammatory demyelinating polyneuropathy, and multiple sclerosis. In a...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198608000-00018

    authors: Tindall RS,Rollins JA

    更新日期:1986-08-01 00:00:00

  • Chronic osteomyelitis caused by Staphylococcus aureus: controlled clinical trial of nafcillin therapy and nafcillin-rifampin therapy.

    abstract::A controlled trial of treatment of chronic osteomyelitis caused by Staphylococcus aureus compared nafcillin alone with nafcillin plus rifampin for a six-week period. Treatment was well tolerated, the only adverse effect being mild neutropenia in four of 18 patients; no toxicity was observed from rifampin. Eight of ten...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-198608000-00008

    authors: Norden CW,Bryant R,Palmer D,Montgomerie JZ,Wheat J

    更新日期:1986-08-01 00:00:00

  • Anterior uveitis, inflammatory bowel disease, and ankylosing spondylitis in a HLA-B27-positive woman.

    abstract::A woman developed anterior uveitis at age 24, inflammatory bowel disease at age 29, and ankylosing spondylitis at age 45 by history. There were frequent recurrences. An HLA-B27 test was positive at age 53. The literature indicates that all of these conditions together in a HLA-B27-positive woman are uncommon. Physicia...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000215747.80424.2d

    authors: Singleton EM,Hutson SE

    更新日期:2006-05-01 00:00:00

  • Orbital hydatid cyst in childhood: a report of two cases.

    abstract::Intraorbital hydatid disease (IHD) is quite rare and represents < 1% of the Echinococcus cases. In our current communication, we report two children with solitary, primary intraorbital hydatid cysts. Both children presented with nontender, nonpulsatile proptosis. Imaging workup, including CT and MRI scans of the head ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000217492.03019.16

    authors: Ciurea AV,Giuseppe G,Machinis TG,Coman TC,Fountas KN

    更新日期:2006-06-01 00:00:00

  • Surgical treatment of anterior diaphragmatic hernia.

    abstract::Of ten patients with anterior diaphragmatic hernia treated by operation, only three had shortness of breath and chest pain. The remainder of the patients were referred to us because of a roentgenographic abnormality. All patients have had follow-up of between six months and 11 years without recurrence. Surgical repair...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198203000-00008

    authors: Saha SP,Mayo P,Long GA

    更新日期:1982-03-01 00:00:00

  • Benign and malignant neoplasms in a family with Peutz-Jeghers syndrome: study of three generations.

    abstract::Three members of a family with Peutz-Jeghers syndrome had intussusception due to intestinal hamartomas. In addition, the grandfather had carcinoma of the jejunum, and the granddaughter had benign ovarian sex cord/stromal tumor causing sexual precocity. Benign and malignant tumors, not often associated with Peutz-Jeghe...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199110000-00011

    authors: Laughlin EH

    更新日期:1991-10-01 00:00:00

  • Wuchereria bancrofti in a Haitian immigrant.

    abstract::A case of Wuchereria bancrofti filariasis was recently seen in a Haitian immigrant in Charleston, SC. The Caribbean area is a known endemic focus for this organism. With the increased numbers of immigrants from that area, it is likely that other such cases will be seen in the US. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198504000-00032

    authors: Morris RC,Pappas AA,Garvin AJ

    更新日期:1985-04-01 00:00:00

  • Benefits of screening mammography: a review for the primary care physician.

    abstract:BACKGROUND:Screening mammography, particularly for women in their 40s, has become a confusing issue for many physicians. Recent scientific and political controversies regarding screening guidelines have added to this confusion. METHODS:Many randomized clinical trials have shown the benefits of mammographic screening f...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Reichle JL

    更新日期:1998-06-01 00:00:00

  • Aldosteronism in pregnancy: association with virilization of female offspring.

    abstract::We have described a case of maternal primary aldosteronism in which there is virilization of the female offspring. The most common causes of virilization are considered unlikely on the basis of clinical and laboratory data. The report illustrates the exacerbation of aldosteronism that occurs postpartum and emphasizes ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Elterman JJ,Hagen GA

    更新日期:1983-04-01 00:00:00

  • Primary liver amyloidosis producing obstructive jaundice.

    abstract::Liver amyloidosis is very rare but is relatively common within the group of amyloid diseases. Jaundice seldom accompanies this condition. Since the results of liver tests are often abnormal, liver amyloidosis cannot be diagnosed by symptoms alone. Diagnosis is provided only by liver or rectal biopsy. We have described...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197907000-00041

    authors: Rubio PA,Farrell EM,Lehane DE

    更新日期:1979-07-01 00:00:00

  • Angioedema associated with angiotensin II receptor antagonist losartan.

    abstract::Angioedema has not been associated with losartan therapy in hemodialysis patients, as it has been with angiotensin converting enzyme (ACE) inhibitors. We report the case of a hemodialysis patient who previously had angioedema after therapy with ACE inhibitors and again had angioedema while taking losartan. We suggest ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199705000-00020

    authors: Sharma PK,Yium JJ

    更新日期:1997-05-01 00:00:00

  • Intracerebral tuberculoma misdiagnosed as neurosarcoidosis.

    abstract::We describe two patients who had tuberculomas that were initially misdiagnosed as neurosarcoidosis, leading to prolonged steroid therapy before initiation of antituberculous medications. Neither patient was infected with the human immunodeficiency virus, and one of the patients had a negative tuberculosis skin test. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000048150.02504.99

    authors: Cortez K,Kottilil S,Mermel LA

    更新日期:2003-05-01 00:00:00

  • Septicemia in children with cancer.

    abstract::Because of the persistently high mortality from sepsis in cancer patients, a retrospective study was designed to identify the causative organisms and to determine the factors affecting the outcome of sepsis. A total of 84 episodes of septicemia in 61 children with cancer were studied. The more frequently isolated orga...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197902000-00007

    authors: Favor LF,Tarpay M,Blackstock R

    更新日期:1979-02-01 00:00:00

  • Non-Hodgkin's lymphoma in pregnancy.

    abstract::Pregnancy in patients who have non-Hodgkin's lymphoma is unusual. We have reported a case of diffuse, poorly differentiated lymphocytic lymphoma, stage IIIa, in a patient whose disease went into remission after she received six courses of CHOP therapy (cyclophosphamide, doxorubicin, vincristine, and prednisolone). She...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198510000-00032

    authors: Garg A,Kochupillai V

    更新日期:1985-10-01 00:00:00

  • Prolonged intermittent diarrhea after Shiga dysentery: postdysenteric syndrome.

    abstract::A 42-year-old woman had dysentery caused by the Shiga bacillus, Shigella dysenteriae type 1, while taking diphenoxylate with atropine during and after her return from a trip to Mexico. Although she was treated with appropriate antibiotics, she suffered a prolonged and toxic acute course followed by intermittent bouts ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198003000-00034

    authors: Rice PA,Baine WB

    更新日期:1980-03-01 00:00:00

  • Autoimmune hemolytic anemia associated with a hypernephroma.

    abstract::This report describes a case of warm-antibody-mediated hemolytic anemia associated with a hypernephroma. Only four patients with renal cell carcinoma and Coombs'-positive hemolytic anemia have been reported previously. Although rare, the occurrence of autoimmune hemolytic anemia in association with a hypernephroma sho...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198509000-00023

    authors: Johnson P,Gualtieri RJ,Mohler DN,Carpenter JT

    更新日期:1985-09-01 00:00:00

  • Adrenal calcification present at birth.

    abstract::Presented in a case in which calcification of the adrenal gland was roentgenographically evident on the first day of life. The earliest previously reported case of adrenal calcification was at 8 days of age and was attributed to an intrapartum hemorrhage. It is proposed that an intrauterine third trimester insult was ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197903000-00045

    authors: Newman SL,Papciak MR,Gay BB Jr

    更新日期:1979-03-01 00:00:00

  • Reversal of Urinary tract diversion after recovery from hysterical conversion reaction.

    abstract::We have described a case in which the diagnosis of multiple sclerosis with findings of progressive paraplegia and a neurogenic bladder led to supravesical urinary diversion. Pyocystis led to creation of a urethrovesicovaginal fistula. Psychotherapy later uncovered hysterical conversion reaction. Which was cured with h...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198109000-00039

    authors: Frentz GD,Wilcox ME,Epstein AW

    更新日期:1981-09-01 00:00:00

  • Status of the physician-patient privilege.

    abstract::While in most states information physicians obtain from the about patients is confidential and cannot be disclosed without the patient's permission, a recent California Supreme Court decision affirms that when the doctor reasonably believes his patient can cause violent harm to third persons, he had an overriding duty...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197903000-00030

    authors: Bunch PL,Dowben C

    更新日期:1979-03-01 00:00:00

  • Tell-tale diaper rash in Kawasaki syndrome.

    abstract::We have presented three patients in whom a striking desquamating perineal rash developed within the first five days of a febrile illness. Such a rash should raise the suspicion for Kawasaki syndrome even when all criteria are not present. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198807000-00039

    authors: Baptist EC,Martinez-Torres GG

    更新日期:1988-07-01 00:00:00

  • Attitudes of internal medicine physicians toward type 2 diabetes.

    abstract:BACKGROUND:This study was designed to identify differences among internists in their attitudes about diabetes and how those attitudes influence practice behavior. METHODS:A cross-sectional study of 55 internists in an academic medical center was done using the Diabetes Attitude Scale (DAS-3), a valid and reliable meas...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Egede LE,Michel Y

    更新日期:2002-01-01 00:00:00

  • Chronic calcific pancreatitis with pancreatic duct lithiasis due to stenosing papillitis.

    abstract::We have described a case of chronic pancreatitis due to stenosing papillitis relieved by sphincteroplasty and removal of pancreatic duct stones, as opposed to a major pancreatic resection. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198310000-00033

    authors: Sutherland CM,Muchmore JH,Browder IW,Vega PJ

    更新日期:1983-10-01 00:00:00

  • Echocardiography in infective endocarditis.

    abstract:BACKGROUND:Echocardiographic demonstration of valvular infection now ranks with positive blood cultures as one of the two major clinical criteria for diagnosis of infective endocarditis (IE), according to new, more accurate guidelines for diagnosis. Because early detection of IE and its complications is essential for d...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Kemp WE Jr,Citrin B,Byrd BF 3rd

    更新日期:1999-08-01 00:00:00

  • Unsuspected subdural hematoma as a differential diagnosis in elderly patients.

    abstract::Subdural hematomas are among the most common forms of intracranial hemorrhage encountered in clinical practice and are a surgically remediable cause of dementia. When the symptom presentation is subtle or diffuse, a subdural hematoma can be overlooked. This is especially true among elderly people who may exhibit unrel...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199509000-00019

    authors: Velasco J,Head M,Farlin E,Lippmann S

    更新日期:1995-09-01 00:00:00

  • Changes in liver enzyme values after halothane and enflurane for surgical anesthesia.

    abstract::For over a decade there has been concern about hepatitis related to halothane anesthesia. No dose relationship or other direct cause has ever been established, and jaundice has been found to occur after other anesthetics for surgical operations. Enflurane is a newer halogenated compound with a remarkable record of saf...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197807000-00012

    authors: Thompson DS,Friday CD

    更新日期:1978-07-01 00:00:00

  • A clinical report of adverse health effects due to bed sharing in two children with spinal cord injury and traumatic brain injury.

    abstract::This paper explores the possibility that bed sharing may carry particular risks for children with special healthcare needs (CSHCN). Two cases of CSHCN who may have sustained adverse health effects from bed sharing are described. These two case reports indicate that CSHCN may be particularly susceptible to risks associ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000220843.75686.cb

    authors: Sneed RC

    更新日期:2006-09-01 00:00:00

  • Adenomyoma of the stomach.

    abstract::We have described three cases of adenomyoma of the stomach. These benign lesions are found almost exclusively in the antrum or pylorus and are composed of combinations of ducts, glands, pancreatic tissue, and smooth muscle. Malignancy arising in adenomyomas is rare. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198410000-00037

    authors: Stewart TW Jr,Mills LR

    更新日期:1984-10-01 00:00:00

  • Increased incidence of bacteremia in Haitian children with sickle cell anemia.

    abstract::Children with sickle cell anemia who were less than 5 years old were observed over a three-year period. Those born to recent Haitian immigrants accounted for 108.4 patient-years. They had seven episodes of Streptococcus pneumoniae bacteremia and five due to Haemophilus influenzae for rates of 6.5 and 4.6 episodes per ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198907000-00009

    authors: Pegelow CH

    更新日期:1989-07-01 00:00:00

  • Orthopaedic in-training examination performance: a nine-year review of a residency program database.

    abstract:BACKGROUND:The Orthopaedic In-Training Examination (OITE) provides an objective way for both the residency program and the resident to monitor progress. METHODS:This longitudinal descriptive study tracks the OITE performance of 16 residents from one orthopaedic surgery residency program over nine years (1997-2005). Do...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31817c0ba6

    authors: Risner B,Nyland J,Crawford CH 3rd,Roberts CS,Johnson JR

    更新日期:2008-08-01 00:00:00