Source:http://linkedlifedata.com/resource/pubmed/id/17804393
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2007-9-6
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pubmed:abstractText |
The Agency for Healthcare Research and Quality Quality Indicator tools were used to identify risk factors for maternal birth-related trauma rates in the 2003 Nationwide Inpatient Sample and the 2002-2004 Iowa State Inpatient Database. Risk-adjusted analyses of these datasets isolated salient risk factors for maternal trauma. The rates of Iowa's risk factors for the most serious types of trauma--third/fourth-degree lacerations--were compared with national rates. The comparisons suggest that episiotomy, artificial rupture of membranes, obstructed labor, and late pregnancies are the most salient risk factors for third/fourth-degree lacerations within Iowa. Thus, this research suggested that a combination of maternal, baby, and episiotomy factors contributed to the high prevalence of third/fourth-degree lacerations in vaginal deliveries in Iowa. Finally, our risk-adjustment methodology could be used in a similar manner to analyze other discharge datasets for opportunities to improve maternal outcomes.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1062-8606
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
334-43
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pubmed:dateRevised |
2007-12-3
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pubmed:meshHeading |
pubmed-meshheading:17804393-Adolescent,
pubmed-meshheading:17804393-Adult,
pubmed-meshheading:17804393-Age Factors,
pubmed-meshheading:17804393-Continental Population Groups,
pubmed-meshheading:17804393-Delivery, Obstetric,
pubmed-meshheading:17804393-Episiotomy,
pubmed-meshheading:17804393-Female,
pubmed-meshheading:17804393-Humans,
pubmed-meshheading:17804393-Iowa,
pubmed-meshheading:17804393-Lacerations,
pubmed-meshheading:17804393-Obstetric Labor Complications,
pubmed-meshheading:17804393-Pregnancy,
pubmed-meshheading:17804393-Pregnancy Complications,
pubmed-meshheading:17804393-Quality of Health Care,
pubmed-meshheading:17804393-Risk Factors,
pubmed-meshheading:17804393-Safety
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pubmed:articleTitle |
Factors contributing to maternal birth-related trauma.
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pubmed:affiliation |
Department of Health Management and Policy, University of Iowa, Iowa City 52242, USA. lance-l-roberts@uiowa.edu
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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