National Perinatal Information Center
National Perinatal Information Center


"Evaluating maternal and neonatal outcomes: A comparison of 2 models of obstetric care delivery"

NPIC partnered with investigator Sindhu K. Srinivas, MD, MSCE at the University of Pennsylvania, to study the impact of the laborist model of care on maternal and neonatal outcomes through a Health Resources and Service Administration (HRSA) Maternal and Child Health (MCH) R-40 Grant.

Based on the premise of the laborist model of care providing more continuous clinical coverage and oversight, it is plausible and probable that this will result in improved patient outcomes. However, the impact of this model of care has never been studied.

NPIC surveyed member hospitals regarding their practice patterns and management of high risk patients; the survey identified different care delivery models. We compared our member hospitals who identified the use of laborists as well as those without laborists to participate in this study.

Using a matched sampling design, we compared pregnancy outcomes of non laborist hospitals to laborist hospitals from among our member hospitals. (The hospital's data was blinded to the University of Pennsylvania investigators.) Hospitals were compensated with a partial discount for one year on their NPIC annual membership if they chose to participate. IRB approval was obtained through Women and Infants Hospital of Rhode Island.

Intial publication: Srinivas, S.K., Shocksnider, J., Caldwell, D., Lorch, S. Laborist Model of Care: Who is Using it? The Journal of Maternal-Fetal & Neonatal Medicine. 04/2011; 25(3):257-60.

(More publications are in process.)

"Does the Laborist Model of Care Improve Obstetric Outcomes?"

Presented by
Sindhu K. Srinivas, MD, MSCE
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Articles of Interest:

Implementation of a laborist program and evaluation of the effect upon cesarean delivery (AJOG)

Society for Maternal-Fetal Medicine abstracts on varying Laborist models

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