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pubmed-article:17804393pubmed:abstractTextThe 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.lld:pubmed
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pubmed-article:17804393pubmed:dateRevised2007-12-3lld:pubmed
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pubmed-article:17804393pubmed:articleTitleFactors contributing to maternal birth-related trauma.lld:pubmed
pubmed-article:17804393pubmed:affiliationDepartment of Health Management and Policy, University of Iowa, Iowa City 52242, USA. lance-l-roberts@uiowa.edulld:pubmed
pubmed-article:17804393pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:17804393pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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