Skip to content

THE TIMES USA

The News that Matters

Menu
  • ABOUT
  • CONTACT
  • LIFESTYLE
  • NATIONAL NEWS
  • BUSINESS
  • INTERNATIONAL NEWS
  • TECHNOLOGY
  • PRICE OF BUSINESS SHOW AUDIOS
Menu

Night and Weekend Births are More Vulnerable to Risky Deliveries

Posted on March 10, 2019March 5, 2019 by admin

As if expecting mothers didn’t have enough to worry about, a new study published in Risk Analysis: An International Journal found that the quantity of delivery complications in hospitals are substantially higher during nights, weekends and holidays, and in teaching hospitals.

Each year, nearly four million women give birth in U.S. hospitals, making childbirth the most common cause of hospitalization in this country. Serious but preventable complications occur at the point of delivery, with approximately 700 women dying every year in the U.S. from preventable causes related to pregnancy and childbirth.

In the study, “Clinical capital and the risk of maternal labor and delivery complications: Hospital scheduling, timing and cohort turnover effects,” Sammy Zahran, Colorado State University, David Mushinski, Colorado State University, Hsueh-Hsiang Li, Colorado State University, Ian Breunig, Abt Associates, Inc., and Sophie McKee, U.S. Department of Agriculture, analyzed more than two million cases from 2005 to 2010, using detailed data obtained from the Texas Department of State Health Services.

The study looked at labor or delivery complications including third- or fourth-degree perineal laceration, ruptured uterus, unplanned hysterectomy, admission to intensive care unit and unplanned operating room procedure following delivery. The research team focused only on women with a single birth (i.e., not twins) who had gestation of more than 20 weeks, a delivery attended by a physician, and a normal labor onset.

Timing Matters

The study evaluated whether delivery complications (1) vary by work shift (day vs night), (2) increase as the hours pass within work shifts, and (3) increase on weekends (Friday evening to Monday morning) and holidays (Christmas, New Year’s Eve and the Fourth of July).

The results suggest that:

  • The odds of a mother experiencing a delivery complication are 21.3 percent higher during the night shift, and that the odds of a delivery complication increase 1.8 percent with every hour worked within a shift.
  • A mother delivering an infant on a weekend is 8.6 percent more likely to encounter a complication than a mother delivering on a weekday.
  • Births occurring on holidays are particularly susceptible to labor or delivery complications, with holiday births being 29.0 percent more likely to have a complication.

Location Matters: Teaching vs. Non-teaching Hospitals

The study also explored whether delivery complication rates are higher in teaching hospitals, and whether they increase when a new cohort of residents enter teaching hospitals in July, causing abrupt declines in physician experience and coordination between members of the healthcare team.

  • Mothers delivering their infants in teaching hospitals are 2.2 times more likely to experience a delivery complication than mothers birthing at non-teaching hospitals.
  • The risk also increases by a multiplicative factor of 1.3 at teaching hospitals in July, when new residents join the staff rotation. By June, after a full year of training and integration, the risk of a delivery complication at these same hospitals is statistically indistinguishable from chance.

“Across an ensemble of hospital situations where clinical quality is known to vary independently of patient characteristics and volume, we see corresponding variation in the risk of preventable harm to expectant mothers,” states Zahran, an associate professor of demography at Colorado State University.

Obstetric care in hospital settings is a team effort and ineffective teamwork has been implicated in an estimated 75 percent of preventable medical errors. The researchers hypothesize that hospitals could decrease the risk of harm to mothers by putting more emphasis on scheduling inexperienced physicians with more senior health professionals, among other things.

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

VIDEO: This Week’s Best of our Network

https://www.thetimesusa.com/wp-content/uploads/2022/05/May-16-2022-This-Week-at-Read-Instead.mp4

GDPR Compliance

USABR does not collect data on its visitors.  For more information visit: https://www.usabusinessradio.com/contact-us/

Contact

Contact articles@usabusinessradio.net for more information on articles on this site. BMuyco@usabusinessradio.net for all other information.

Recent Articles

  • 5 Things a Small Business Owner Should Know Before Scaling
  • Different Types of Legal Fees Charged by Lawyers
  • Netflix Refuses to Bow Down to Woke Culture from Employees
  • eBikes Provide an Alternative to High Gas Prices
  • 5 Critical Mistakes To Avoid When Installing A Water Heater For The First Time

The Secret to Making New Rich Books Work

The Secret to Making New Rich Books Work

Also in TTUSA

  • Fruit Serenity Slots – Casino games with no deposit bonuses
  • Casino In Fresno – Bitcoin casinos: the new frontier of the game
  • Immokalee Casino Florida – Free slot machines without downloading 2020
  • Play Russian Roulette Online | Slot machine legislation: the rules of slots
  • Casino Information Exchange | How to open a keyless slot machine

RSS The Daily Blaze

  • Have You Installed the Vingo App? Open a Free Account Today
  • Famed Defense Attorney Looks at the “State of Texas vs. Melissa”
  • Powerful Habits To Become A Better Version Of Yourself 
  • A Guide to Decorating Your Wedding Venue (4 Vital Things to Remember)
  • Cyber Attack and the End of Lincoln College

The Leader in Business News

The Leader in Business News

RSS USA Business Radio

  • US Stock Market Moving Rapidly to a Bear Market
  • Thought Leaders Find Book Publishing a Powerful Tool
  • Today’s Power Sustainability Services in the Data Center
  • Former White House Economist Warns “Bracket Creep” is Back and More
  • The US Appears Headed Towards a Bear Market

RSS USA Daily Times

  • Chris Miles’ New Commentary Feature on Price of Business Digital Network
  • 6 Ways You Can’t Hide Text in Files, Emails and Other Data From a Search Engine
  • What to Do When Your Health Insurance Won’t Cover a Treatment
  • Post Reporter on Disaster Relief Disparity in Texas
  • Attorney on the Recent Rise of Unions and How it is Different than in the Past

RSS USA Daily Chronicles.

  • Is Now a Good Time to Sell a Business?
  • The Impact of the Roe vs. Wade Overturning Might Have Could Surprise People
  • Barbara Comstock Assess the Political Primary Season
  • The Role of HR in Business Management
  • Empowering Employees of the Future for the New Work World

RSS Price of Business

  • Managing Compliance As You Scale: 6 Tips
  • Sen. Manchin Joins GOP in Blasting Biden’s Interior Secretary
  • Post Reporter Takes Closer Look at the Problems with Crypto
  • Famed Defense Attorney Looks at the “State of Texas vs. Melissa”
  • US Stock Market Moving Rapidly to a Bear Market

RSS US Daily Review

  • Sen. Manchin Joins GOP in Blasting Biden’s Interior Secretary
  • The Benefits of IT Staff Augmentation Services
  • Handgun vs. Pistol: What’s Best for Self-Defense?
  • The “Tax Cuts Causes Inflation Argument” is Old and Requires Examination
  • Question Raised on Joe DeMarco’s Contribution to Sharon Ashe-Nadrowski Campaign

PoB Digital Network

US Daily Review

USA Business Radio

USA Daily Chronicles

USA Daily Times

The Daily Blaze

The Times USA

Price of Business

© 2022 THE TIMES USA | Powered by Superbs Personal Blog theme