Document Type
Article
Publication Date
3-7-2023
Publication Title
Healthcare
DOI
10.3390/healthcare11060788
Abstract
Objective To assess the “July effect” and the risk of postpartum hemorrhage (PPH) and its risk factors across the U.S. teaching hospitals. Method This study used the 2018 Nationwide Inpatient Sample (NIS) and included 2,056,359 of 2,879,924 single live-birth hospitalizations with low-risk pregnancies across the U.S. teaching hospitals. The International Classification of Diseases, Tenth Revision (ICD-10) from the American Academy of Professional Coders (AAPC) medical coding was used to identify PPH and other study variables. Multivariable logistic regression models were used to compare the adjusted odds of PPH risk in the first and second quarters of the academic year vs. the second half of the academic year. Results Postpartum hemorrhage occurred in approximately 4.19% of the sample. We observed an increase in the adjusted odds of PPH during July through September (adjusted odds ratios (AOR), 1.05; confidence interval (CI), 1.02–1.10) and October through December (AOR, 1.07; CI, 1.04–1.12) compared to the second half of the academic year (January to June). Conclusions This study showed a significant “July effect” concerning PPH. However, given the mixed results concerning maternal outcomes at the time of childbirth other than PPH, more research is needed to investigate the “July effect” on the outcomes of the third stage of labor. This study’s findings have important implications for patient safety interventions concerning MCH.
Recommended Citation
Shahin, Zahra, Gulzar H. Shah, Bettye Apenteng, Kristie Cason Waterfield, Hani M. Samawi.
2023.
"A Nationwide Study of the “July Effect” Concerning Postpartum Hemorrhage and Its Risk Factors at Teaching Hospitals across the United States."
Healthcare, 11 (6): MDPI.
doi: 10.3390/healthcare11060788
https://digitalcommons.georgiasouthern.edu/hpmb-facpubs/232
Copyright
Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Community Health Commons, Community Health and Preventive Medicine Commons, Health Policy Commons
Comments
Georgia Southern University faculty member, Zahra Shahin, Gulzar H. Shah, Bettye A. Apenteng, Kristie Waterfield and Hani Samawi co-authored A Nationwide Study of the “July Effect” Concerning Postpartum Hemorrhage and Its Risk Factors at Teaching Hospitals across the United States.