2017
Hospital variation in cost of childbirth and contributing factors: a cross‐sectional study
Xu X, Lee H, Lin H, Lundsberg L, Pettker C, Lipkind H, Illuzzi J. Hospital variation in cost of childbirth and contributing factors: a cross‐sectional study. BJOG An International Journal Of Obstetrics & Gynaecology 2017, 125: 829-839. PMID: 29090498, DOI: 10.1111/1471-0528.15007.Peer-Reviewed Original ResearchConceptsChildbirth hospitalisationsHospital variationObstetric interventionsHospital variancePatient clinical risk factorsSevere maternal morbiditySevere newborn morbidityClinical risk factorsMaternal sociodemographic characteristicsHospital discharge dataCross-sectional studyUrban-rural statusCross-sectional analysisCosts of childbirthHigh-cost hospitalsVertex birthsMaternal morbidityCaesarean deliveryNewborn morbidityBirth attendantsRisk factorsHospital typeCare capacityHospitalisationBetter outcomes
2016
Variation in Hospital Intrapartum Practices and Association With Cesarean Rate
Lundsberg LS, Illuzzi JL, Gariepy AM, Sheth SS, Pettker CM, Lee HC, Lipkind HS, Xu X. Variation in Hospital Intrapartum Practices and Association With Cesarean Rate. Journal Of Obstetric Gynecologic & Neonatal Nursing 2016, 46: 5-17. PMID: 27886948, DOI: 10.1016/j.jogn.2016.07.011.Peer-Reviewed Original ResearchMeSH KeywordsAdultCesarean SectionCross-Sectional StudiesDelivery, ObstetricFemaleHumansInfant, NewbornPerinatal CarePregnancyPregnancy OutcomeConceptsCesarean rateIntrapartum practicesIntrapartum interventionsIntrapartum careLow-risk womenLower cesarean ratesRegular reviewHospital cesarean rateCross-sectional surveyRank sum testKendall's tau-b correlation coefficientLiberal indicationsLabor inductionVaginal birthHospital variationNewborn careAntibody screenCesarean birthIntravenous lineObstetric servicesHospital characteristicsEligible hospitalsMassachusetts hospitalsFetal monitoringClinical staff
2015
Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth
Xu X, Gariepy A, Lundsberg LS, Sheth SS, Pettker CM, Krumholz HM, Illuzzi JL. Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth. Health Affairs 2015, 34: 1212-1219. PMID: 26153317, DOI: 10.1377/hlthaff.2014.1088.Peer-Reviewed Original ResearchConceptsCesarean deliveryHospital costsMaternity staysSerious maternal morbidityNationwide Inpatient SampleCoordination of careValue of careMaternal morbidityHospital admissionInpatient SampleDelivery system reformRural hospitalsUS hospitalsHospital practiceSafe reductionHospitalChildbirthStayLong stayHigh rateCareLower proportionUnited StatesFacility costs
2010
Pelvic Floor Consequences of Cesarean Delivery on Maternal Request in Women with a Single Birth: A Cost-effectiveness Analysis
Xu X, Ivy JS, Patel DA, Patel SN, Smith DG, Ransom SB, Fenner D, DeLancey JO. Pelvic Floor Consequences of Cesarean Delivery on Maternal Request in Women with a Single Birth: A Cost-effectiveness Analysis. Journal Of Women's Health 2010, 19: 147-160. PMID: 20088671, PMCID: PMC2828240, DOI: 10.1089/jwh.2009.1404.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsCesarean SectionCost-Benefit AnalysisDecision Support TechniquesDelivery, ObstetricElective Surgical ProceduresFecal IncontinenceFemaleGravidityHumansMonte Carlo MethodPelvic FloorPelvic Organ ProlapsePregnancyPregnancy OutcomeQuality of LifeQuality-Adjusted Life YearsTrial of LaborUrinary IncontinenceConceptsPelvic floor disordersTrial of laborObstetric indicationsCost-effectiveness analysisCesarean deliveryPrimigravid womenMaternal requestQuality of lifeSingle childbirthMaternal morbidityNeonatal outcomesPerinatal morbidityEmergency hysterectomyLifelong managementMean costSocietal perspectiveSingle birthsWomenCDMRMorbidityMortalityChildbirthIndicationsDeliveryPotential benefits
2007
The effects of medical liability on obstetric care supply in Michigan
Xu X, Siefert KA, Jacobson PD, Lori JR, Ransom SB. The effects of medical liability on obstetric care supply in Michigan. American Journal Of Obstetrics And Gynecology 2007, 198: 205.e1-205.e9. PMID: 17997388, PMCID: PMC2259238, DOI: 10.1016/j.ajog.2007.08.043.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelDecision MakingDelivery, ObstetricFamily PracticeFemaleHealth Services AccessibilityHumansInsurance, LiabilityLiability, LegalMaleMalpracticeMaternal Health ServicesMichiganMiddle AgedNurse MidwivesObstetricsPregnancyProfessional PracticeRiskSurveys and QuestionnairesWorkforceConceptsObstetric careFamily physiciansCare supplyHigh-risk obstetric careProvider decisionsProvision of careWarrants further researchPatient accessCare provisionCareMalpractice concernsObstetricsProviders' provisionMalpractice litigationPhysiciansPractice decisionsRiskMedical liabilityStatewide surveyFurther researchBabiesFactors