Dilation < 3cm at Time of Admit Decision & Risk of OB Complications Data from Sutter Health FPAD: 2001-2002 Elliott Main, MD (inductions excluded N = 4,151)

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Presentation transcript:

Dilation < 3cm at Time of Admit Decision & Risk of OB Complications Data from Sutter Health FPAD: Elliott Main, MD (inductions excluded N = 4,151) Relative Risk = 1.9 p <.00001

Relative Risk = 2.1 p <.0001 Cleveland Metro: 3,087 Low Risk NTSV women in spontaneous labor ( ) Bailit J etal: Obstet Gynecol 2005;105:77-9. Dilation < 3cm at time of Admit Decision & Risk of Obstetric Complications

NTSV Induction Rate Correlates with NTSV Cesarean Rate 0% NTSV <41wks Induction Rate NTSV CB Rate 10% 15% 20% 25% 30% 10%20% 30%40% r = 0.57 (r 2 =0.32) p< Hospitals -Circle size is proportionate to birth rate

NTSV Early Labor Admit Rate Correlates with NTSV Cesarean Rate NTSV Early Labor (<3cm) Admission Rate 10% 15% 20% 25% 30% 10%20%50%60% 30%40% r = 0.62 (r 2 =0.38) p< NTSV CB Rate -20 Hospitals -Circle size is proportionate to birth rate

Combined Induction+Early Admit Rate Correlates BEST with NTSV Cesarean Rate 10% 15% 20% 25% 30% 20%40%60%80% NTSV Induction Rate + Early Labor Admission Rate NTSV CB Rate r = 0.73 (r 2 =0.53) p< Induc. Early Admit All Births