2.50
Hdl Handle:
http://hdl.handle.net/10755/211681
Type:
Research Study
Title:
RISK FACTORS THAT EFFECT MATERNAL DELIVERY OUTCOME
Abstract:
Purpose/Aims: Neonatal outcomes have been used as proxy for maternal-fetal care evaluation, which do not address the unique needs of the pregnant woman. The purpose of this study is to identify the maternal risk factors that have predictive value in determining adverse maternal outcomes in order to support the development of maternal risk-appropriate care.  Specific aims: a) identify patterns of high-risk factors present in cases with adverse maternal outcomes, and b) describe the relationship between age, parity, pre-pregnancy weight, history of adverse outcome in previous pregnancy, history of chronic medical conditions, presence of current medical conditions, history of obstetrical complications, current pregnancy conditions, and adverse delivery outcomes. Background: The number of high-risk pregnancies due to maternal or neonatal complications has significantly increased over the past decade (Kuklina et al., 2009). Approximately 31.1% of pregnant females suffered complications during hospitalized labor and delivery in 2007 (USDHHS, 2010). As a result, Healthy People 2020 objectives include the reduction of maternal illness and complications due to pregnancy (complications during hospitalized labor and delivery) by 10%.  Antenatal risk assessment and transfer are key strategies to the successful provision of risk-appropriate care and prevention of maternal mortality and/or morbidity. Methods: A descriptive, correlational design employing linked secondary data sets will be used for the study.  Using probabilistic linkage techniques, data from the California Office of Statewide Health Planning (OSHPD) will be matched with the birth statistical files of the Office of Vital Statistics (OVS).  OSHPD data include demographics, delivery mode, diagnoses, procedures, type of discharge, source of payment, length of stay, charges, and hospital type.  Data including parity, pre-pregnancy weight, co-morbidities, and gestational age at delivery will be collected from OVS.  The statistical analysis will include descriptive and inferential statistics. Results: in progress. Implications: Health care providers are being challenged to use their knowledge and skills to identify potential factors that may cause injury or harm to the patient.  The earlier these factors are recognized the better the nurse can initiate the decision making process to mitigate the risk.  Information is needed about potentially modifiable versus non-modifiable risk factors.  Data sources regarding maternal outcomes are limited or non-existent.  The results from this study will contribute information regarding what pregnancy related complications increase the risk for poor maternal outcomes.  Information gained will inform practice standards and improve the recognition of these elements of risk and subsequent requirements for care to mitigate the potential for adverse outcomes.   
Keywords:
Neonatal assessment; Maternal-fetal care
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4857
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleRISK FACTORS THAT EFFECT MATERNAL DELIVERY OUTCOMEen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211681-
dc.description.abstractPurpose/Aims: Neonatal outcomes have been used as proxy for maternal-fetal care evaluation, which do not address the unique needs of the pregnant woman. The purpose of this study is to identify the maternal risk factors that have predictive value in determining adverse maternal outcomes in order to support the development of maternal risk-appropriate care.  Specific aims: a) identify patterns of high-risk factors present in cases with adverse maternal outcomes, and b) describe the relationship between age, parity, pre-pregnancy weight, history of adverse outcome in previous pregnancy, history of chronic medical conditions, presence of current medical conditions, history of obstetrical complications, current pregnancy conditions, and adverse delivery outcomes. Background: The number of high-risk pregnancies due to maternal or neonatal complications has significantly increased over the past decade (Kuklina et al., 2009). Approximately 31.1% of pregnant females suffered complications during hospitalized labor and delivery in 2007 (USDHHS, 2010). As a result, Healthy People 2020 objectives include the reduction of maternal illness and complications due to pregnancy (complications during hospitalized labor and delivery) by 10%.  Antenatal risk assessment and transfer are key strategies to the successful provision of risk-appropriate care and prevention of maternal mortality and/or morbidity. Methods: A descriptive, correlational design employing linked secondary data sets will be used for the study.  Using probabilistic linkage techniques, data from the California Office of Statewide Health Planning (OSHPD) will be matched with the birth statistical files of the Office of Vital Statistics (OVS).  OSHPD data include demographics, delivery mode, diagnoses, procedures, type of discharge, source of payment, length of stay, charges, and hospital type.  Data including parity, pre-pregnancy weight, co-morbidities, and gestational age at delivery will be collected from OVS.  The statistical analysis will include descriptive and inferential statistics. Results: in progress. Implications: Health care providers are being challenged to use their knowledge and skills to identify potential factors that may cause injury or harm to the patient.  The earlier these factors are recognized the better the nurse can initiate the decision making process to mitigate the risk.  Information is needed about potentially modifiable versus non-modifiable risk factors.  Data sources regarding maternal outcomes are limited or non-existent.  The results from this study will contribute information regarding what pregnancy related complications increase the risk for poor maternal outcomes.  Information gained will inform practice standards and improve the recognition of these elements of risk and subsequent requirements for care to mitigate the potential for adverse outcomes.   en_GB
dc.subjectNeonatal assessmenten_GB
dc.subjectMaternal-fetal careen_GB
dc.date.available2012-02-20T12:08:08Z-
dc.date.issued2012-02-20T12:08:08Z-
dc.date.accessioned2012-02-20T12:08:08Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.