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J Matern Fetal Neonatal Med. 2012 Mar;25(3):257-60. doi: 10.3109/14767058.2011.572206. Epub 2011 Apr 20.

Laborist model of care: who is using it?

Author information

  • 1University of Pennsylvania, Department of Obstetrics and Gynecology, Maternal and Child Health Research Program, Philadelphia, PA, USA. ssrinivas@obgyn.upenn.edu

Abstract

OBJECTIVE:

Utilization of the laborist model in the provision of obstetric (OB) care appears to be growing. In collaboration with the National Perinatal Information Center/Quality Analytic Services (NPIC/QAS), we assessed the utilization of this model of care delivery and hospital-level characteristics associated with its use.

METHODS:

A cross-sectional electronic survey of all NPIC/QAS member hospitals (26 states) was performed in February 2010. Questions assessed staffing and clinical capabilities and utilization of laborists. The association between laborists and hospital-level characteristics were calculated using chi-square analyses or Fisher's exact tests for categorical variables and t tests for continuous variables.

RESULTS:

Ninety-three percent of hospitals (69/74) responded and only those that provide OB services were analyzed (N = 68). Nearly 40% (25/68) of hospitals responded that they are utilizing laborists. Delivery volume is significantly associated with implementation of laborists whereas OB level, presence of residents and fellows, and geography were not.

CONCLUSION:

Laborists are being introduced into the OB care delivery model rapidly. This is the first assessment of their use in a large sample of US hospitals. Given the millions of women who deliver each year, it is imperative to evaluate the impact of this model on patient safety and outcomes.

PMID:
21506656
[PubMed - indexed for MEDLINE]
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