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| Name | Class |
|---|---|
| Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) | NIH |
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This study is looking at the impact of the implementation of a cesarean risk calculator on cesarean delivery and maternal morbidity rates.
In this study a cesarean risk calculator will be instituted as a part of standard of care in a randomized rollout at 14 labor and delivery clinical sites across 4 institutions. The leadership at all of the sites have planned to implement this intervention for routine use at both sites. This study will evaluate cesarean delivery rates and maternal morbidity before and after implementation at each site.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-utilization of cesarean risk calculator | No Intervention | The time prior to the implementation of the cesarean risk calculator at the labor and delivery unit. | |
| Implementation of cesarean risk calculator | Active Comparator | The cesarean risk calculator will be incorporated into routine care at the site |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cesarean Risk Calculator | Other | The cesarean risk calculator will be incorporated into routine care at the site |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cesarean delivery rate (for any indication) | at time of delivery | |
| Maternal morbidity | one or more of the following: endometritis, postpartum hemorrhage greater than or equal to one liter, wound infection requiring antibiotics, venous thromboembolism, hysterectomy, intensive care unit admission, readmission within 30 days, and death | from delivery to 30 days postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Neonatal morbidity | one or more of the following: severe respiratory distress, neonatal resuscitation outside of delivery room, and sepsis | delivery admission |
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Inclusion Criteria:
All postpartum patients who were eligible for cesarean risk calculator utilization:
Exclusion Criteria:
Postpartum patient who had a prior pregnancy resulting in Cesarean delivery
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| Name | Affiliation | Role |
|---|---|---|
| Rebecca Hamm, MD | University of Pennsylvania | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Michigan | Ann Arbor | Michigan | 48109 | United States | ||
| Henry Ford Macomb Hospital |
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This is a quality improvement randomized roll-out pre-implementation and post-implementation study
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| Clinton Township |
| Michigan |
| 48038 |
| United States |
| Henry Ford Hospital | Detroit | Michigan | 48202 | United States |
| E.W. Sparrow Hospital | Lansing | Michigan | 48912 | United States |
| Princeton Medical Center | Plainsboro | New Jersey | 08536 | United States |
| Akron General | Akron | Ohio | 44307 | United States |
| Fairview Hospital | Cleveland | Ohio | 44111 | United States |
| Hillcrest Hospital | Mayfield Heights | Ohio | 44124 | United States |
| Lancaster General Health | Lancaster | Pennsylvania | 17602 | United States |
| Chester County Hosptial | West Chester | Pennsylvania | 19380 | United States |
| Logan Regional Hospital-Intermountain Healthcare | Logan | Utah | 84341 | United States |
| McKay-Dee Hospital | Ogden | Utah | 84403 | United States |
| Riverton Hospital-Intermountain Healthcare | Riverton | Utah | 84065 | United States |
| University of Utah Hospital | Salt Lake City | Utah | 84132 | United States |