Authors
Francesca L Cavallaro, Charles P Kabore, Rachel Pearson, Ruth M Blackburn, Soha Sobhy, Ana Pilar Betran, Carine Ronsmans, Alexandre Dumont
Publication date
2022/10/1
Journal
BMJ open
Volume
12
Issue
10
Pages
e055241
Publisher
British Medical Journal Publishing Group
Description
Objectives
To examine hospital variation in crude and risk-adjusted rates of intrapartum-related perinatal mortality among caesarean births.
Design
Secondary analysis of data from the DECIDE (DECIsion for caesarean DElivery) cluster randomised trial postintervention phase.
Setting
21 district and regional hospitals in Burkina Faso.
Participants
All 5134 women giving birth by caesarean section in a 6-month period in 2016.
Primary outcome measure
Intrapartum-related perinatal mortality (fresh stillbirth or neonatal death within 24 hours of birth).
Results
Almost 1 in 10 of 5134 women giving birth by caesarean experienced an intrapartum-related perinatal death. Crude mortality rates varied substantially from 21 to 189 per 1000 between hospitals. Variation was markedly reduced after adjusting for case mix differences (the median OR decreased from 1.9 (95% CI 1.5 to 2.5) to 1.3 (95% CI 1.2 to 1.7)). However, higher …
Scholar articles
FL Cavallaro, CP Kabore, R Pearson, RM Blackburn… - BMJ open, 2022