'Laborist' obstetrical care improves pregnancy outcomes

In a study to be presented on February 16 at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, in San Francisco, researchers will report findings that suggest shifting from a traditional model of obstetrical care to a laborist model improves pregnancy outcomes.

The "laborist" concept has been around for nearly a decade. In this model, obstetricians provide 24-hour a day on-site staffing of labor units. While it has been assumed that laborists improve obstetric care, there had been no studies done to test whether it does and how much it helps. Sindhu K. Srinivas, MD, MSCE and director of obstetrical services at the of the University of Pennsylvania, and her team worked with a non-profit organization, the National Perinatal Information Center and 24 of their member hospitals to determine the effectiveness of the laborist model.

"Many hospitals have moved toward adopting the laborist model, and it's critically important to determine whether it is improving ," explained Srinivas.

The study matched 8 laborist hospitals to 16 non-laborist hospitals accounting for location, volume of , the presence of a neonatal ICU and teaching status.

"The hospitals selected were diverse in terms of volume with 30 percent of the data coming from hospitals with more than 5,000 births a year, 44 percent from hospitals with 2,500 to 5,000 births per year and 25 percent from hospitals with less than a 2,500 births per year," said Srinivas.

The study showed that using the laborist model resulted in 15 percent fewer labor inductions, reduced maternal length of stay (0.09 days), and a significant reduction in preterm delivery (17 percent).

"We thought the laborist model would improve pregnancy outcomes and now we have data that demonstrates that," said Srinivas. We need to do more research to understand the mechanism by which these outcomes are improved but this is a start."

More information: www.smfmnewsroom.org/wp-conten… ds/2013/01/79-86.pdf

Provided by Society for Maternal-Fetal Medicine

not rated yet
add to favorites email to friend print save as pdf

Related Stories

Study weighs risks and benefits of birthing facilities

Feb 10, 2012

In a study to be presented today at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that indicate that the risk of obstetric intervention ...

Nighttime intensivist staffing and mortality in the ICU

May 21, 2012

Nighttime intensivist physician staffing in intensive care units (ICUs) with a low-intensity daytime staffing model is associated with reduced mortality, according to a new study published in the New England Journal of Me ...

Policy changes in elective delivery proven successful

Feb 11, 2013

In a study to be presented on February 14 at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting, in San Francisco, California, researchers will present data showing changes in elective delivery ...

Recommended for you

Ob-gyn guidance issued for young cancer patient concerns

Jul 25, 2014

(HealthDay)—Young cancer patients and survivors may have gynecologic concerns, which should be managed before, during, and after treatment, according to a Committee Opinion published in the August issue ...

Common blood thinner for pregnant women proven ineffective

Jul 24, 2014

It's a daily injection to the belly for pregnant women at risk of developing blood clots and it's ineffective, according to a clinical trial led by researchers at The Ottawa Hospital and published today by the prestigious ...

Improving life before it begins

Jul 22, 2014

A group of Mexican specialists in fetal medicine have successfully performed over 200 surgeries on unborn babies, inside the womb of the mother. Doctors, grouped under the signature Fetal Medicine Mexico, ...

User comments