"Evaluating maternal and neonatal outcomes: A comparison of 2 models of obstetric care delivery"NPIC/QAS 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/QAS 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 hospitalís data was blinded to the University of Pennsylvania investigators.) Hospitals were compensated with a partial discount for one year on their NPIC/QAS annual membership if they chose to participate. IRB approval was obtained through Women and Infants Hospital of Rhode Island.
(More publications are in process.)Articles of Interest: