2024
Adherence to Labor Arrest and Failed Induction of Labor Guidelines: The Impact of a Quality-Improvement Educational Intervention
Cate J, Arkfeld C, Campol M, Campbell K, Pettker C, Illuzzi J. Adherence to Labor Arrest and Failed Induction of Labor Guidelines: The Impact of a Quality-Improvement Educational Intervention. Journal Of Clinical Medicine 2024, 13: 4720. PMID: 39200862, PMCID: PMC11355156, DOI: 10.3390/jcm13164720.Peer-Reviewed Original ResearchFailed induction of laborInduction of laborLabor arrestElectronic health recordsPost-interventionEducational interventionAcademic medical centerCesarean deliveryObstetric providersProvider typeFailed inductionPre-interventionSecond-stage arrestMedical CenterPre-intervention periodLabour guidelinesPocket cardHealth recordsRetrospective cohort studyNTSVCohort studyStudy designSecondary outcomesBivariate statisticsEducational initiatives
2023
Assessing the predictive accuracy of the new vaginal birth after cesarean delivery calculator
Adjei N, McMillan C, Hosier H, Partridge C, Adeyemo O, Illuzzi J. Assessing the predictive accuracy of the new vaginal birth after cesarean delivery calculator. American Journal Of Obstetrics & Gynecology MFM 2023, 5: 100960. PMID: 37028551, DOI: 10.1016/j.ajogmf.2023.100960.Peer-Reviewed Original ResearchConceptsUrban tertiary medical centerTertiary medical centerCesarean delivery success ratesPrevious cesarean deliveryCesarean deliveryTrial of laborVaginal birthHispanic patientsMedical CenterRace/ethnicityChronic hypertensionMost patientsObstetrical careMaternal-Fetal Medicine Units NetworkPrevious low transverse cesarean deliveryLow transverse cesarean deliveryMaternal body mass indexCesarean delivery successVertex singleton gestationBody mass indexMultivariable logistic regressionArrest of dilationSuccess rateSuccess of trialEthnic minority patients
2020
Trial of Labor After Two Prior Cesarean Deliveries: Patient and Hospital Characteristics and Birth Outcomes.
Dombrowski M, Illuzzi JL, Reddy UM, Lipkind HS, Lee HC, Lin H, Lundsberg LS, Xu X. Trial of Labor After Two Prior Cesarean Deliveries: Patient and Hospital Characteristics and Birth Outcomes. Obstetrics And Gynecology 2020, 136: 109-117. PMID: 32541284, PMCID: PMC7321852, DOI: 10.1097/aog.0000000000003845.Peer-Reviewed Original ResearchConceptsComposite severe maternal morbidityTrial of laborPrior cesarean deliverySevere maternal morbidityCesarean deliveryMaternal morbidityNewborn complicationsHospital characteristicsPropensity score-matched analysisSevere neonatal morbiditySuccessful vaginal birthSingleton live birthsAssociation of patientCohort of mothersBirth certificate dataSample eligibility criteriaModest increaseNeonatal morbidityNeonatal outcomesHospital dischargeBirth outcomesVaginal birthClear contraindicationsLive birthsMultivariable regressionAssociation of Oxytocin Rest During Labor Induction of Nulliparous Women With Mode of Delivery.
McAdow M, Xu X, Lipkind H, Reddy UM, Illuzzi JL. Association of Oxytocin Rest During Labor Induction of Nulliparous Women With Mode of Delivery. Obstetrics And Gynecology 2020, 135: 569-575. PMID: 32028487, DOI: 10.1097/aog.0000000000003709.Peer-Reviewed Original ResearchConceptsMode of deliveryInduction of laborNeonatal morbidityCesarean deliveryNulliparous womenLatent laborOxytocin infusionLatent phaseMultivariable logistic regression analysisContinuous oxytocin infusionRetrospective cohort analysisLarge academic medical centerBody mass indexLogistic regression analysisAcademic medical centerContinuous oxytocinSingleton gestationsLabor inductionGestational ageMass indexPotential confoundersMaternal ageOdds ratioCohort analysisMedical Center
2019
Hospital Variation in Utilization and Success of Trial of Labor After a Prior Cesarean
Xu X, Lee H, Lin H, Lundsberg L, Campbell K, Lipkind H, Pettker C, Illuzzi J. Hospital Variation in Utilization and Success of Trial of Labor After a Prior Cesarean. Obstetric Anesthesia Digest 2019, 39: 190-190. DOI: 10.1097/01.aoa.0000603684.07921.7c.Peer-Reviewed Original ResearchCesarean deliveryTrial of laborElective repeat cesareanSuccess of trialNeonatal morbidityUterine rupturePrior cesareanHospital variationRepeat cesareanPatient preferencesPatient outcomesAmerican CollegeHospital supportCalifornia hospitalsSuccess rateTOLACCesareanTrialsRiskDeliveryContraindicationsMorbidityComplicationsGynecologistsObstetricians
2018
Hospital variation in utilization and success of trial of labor after a prior cesarean
Xu X, Lee HC, Lin H, Lundsberg LS, Campbell KH, Lipkind HS, Pettker CM, Illuzzi JL. Hospital variation in utilization and success of trial of labor after a prior cesarean. American Journal Of Obstetrics And Gynecology 2018, 220: 98.e1-98.e14. PMID: 30278176, DOI: 10.1016/j.ajog.2018.09.034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCesarean SectionCohort StudiesDatabases, FactualFemaleGestational AgeHospitals, High-VolumeHospitals, Low-VolumeHumansInfant, NewbornMaternal AgePatient SafetyPregnancyPregnancy OutcomeRetrospective StudiesRisk AssessmentTrial of LaborUterine RuptureVaginal Birth after CesareanConceptsSuccess of trialCesarean deliveryTrial of laborHospital variationSuccess rateLow success rateNewborn hospital discharge recordsPatient clinical risk factorsSevere unexpected newborn complicationsNewborn respiratory complicationsUnexpected newborn complicationsClinical risk factorsPrior cesarean deliveryHospital discharge recordsPatient case mixBirth certificate dataMidwife-attended birthsAnesthesia availabilityNewborn infectionRespiratory complicationsUterine ruptureNewborn morbidityPrior cesareanNewborn complicationsVaginal birthQuality Assurance Practices in Obstetric Care
Lundsberg LS, Lee HC, Dueñas GV, Gregory KD, Nardini H, Pettker CM, Illuzzi JL, Xu X. Quality Assurance Practices in Obstetric Care. Obstetrics And Gynecology 2018, 131: 214-223. PMID: 29324608, PMCID: PMC7020098, DOI: 10.1097/aog.0000000000002437.Peer-Reviewed Original ResearchConceptsAbnormal fetal heart rateEvidence-supported practicesFetal heart rateObstetric careHeart rateFrequent simulationLabor arrestCesarean deliveryPostpartum hemorrhageSignificant morbidityObstetric hospitalPerinatal careShoulder dystociaAppropriate statistical testsHospital practiceHospitalBivariate analysisTeaching statusMost hospitalsCareEclampsiaPrivate nonprofit hospitalsInterprofessional simulationStatewide surveyBroad spectrum
2016
Perspectives on Promoting Hospital Primary Vaginal Birth: A Qualitative Study
Kennedy HP, Doig E, Tillman S, Strauss A, Williams B, Pettker C, Illuzzi J. Perspectives on Promoting Hospital Primary Vaginal Birth: A Qualitative Study. Birth 2016, 43: 336-345. PMID: 27500371, DOI: 10.1111/birt.12245.Peer-Reviewed Original ResearchConceptsFirst-time mothersVaginal birthHospital settingPrimary cesarean deliveryCesarean delivery rateLong-term riskCesarean deliveryEarly laborCaregivers' knowledgeWomen's knowledgeCaregiver perspectivesChildbirth preparationSecondary aimNortheastern hospitalsPractice styleBirthLabor managementMothersPowerful mediatorHospitalPrimary aimPotential strategyCaregiversWomenBirth environment
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
2014
Disparities in Cesarean Delivery by Ethnicity and Nativity in New York City
Janevic T, Loftfield E, Savitz D, Bradley E, Illuzzi J, Lipkind H. Disparities in Cesarean Delivery by Ethnicity and Nativity in New York City. Maternal And Child Health Journal 2014, 18: 250-257. PMID: 23504133, DOI: 10.1007/s10995-013-1261-6.Peer-Reviewed Original ResearchConceptsCesarean deliveryRisk ratioCentral/South American womenPre-pregnancy weightLow-risk womenCesarean delivery rateMultiple risk factorsNew York City birthsAmerican womenNon-Hispanic whitesForeign-born womenEthnic groupsEvidence of disparitiesAfrican American womenCaribbean womenAdjusted riskPregnancy complicationsGestational ageMedical complicationsPrimiparous womenMaternal agePatient preferencesSubgroup analysisRisk factorsSouth American women
2011
Mode of Delivery in Nulliparous Women and Neonatal Intracranial Injury
Werner EF, Janevic TM, Illuzzi J, Funai EF, Savitz DA, Lipkind HS. Mode of Delivery in Nulliparous Women and Neonatal Intracranial Injury. Obstetrics And Gynecology 2011, 118: 1239-1246. PMID: 22105252, PMCID: PMC3725462, DOI: 10.1097/aog.0b013e31823835d3.Peer-Reviewed Original ResearchConceptsVacuum-assisted vaginal deliveryAssisted vaginal deliveryCesarean deliveryVaginal deliverySubdural hemorrhageApgar scoreNeurologic outcomeIntraventricular hemorrhageNulliparous womenForceps-assisted vaginal deliverySevere neurologic morbidityFacial nerve palsyBrachial plexus injuryNeurologic complication rateMultivariable logistic regressionSingleton live birthsHospital discharge dataMode of deliveryNeonatal morbidityNerve palsyNeurologic morbidityScalp lacerationsComplication ratePlexus injuryIntracranial injuryIndications Contributing to the Increasing Cesarean Delivery Rate
Barber EL, Lundsberg LS, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Indications Contributing to the Increasing Cesarean Delivery Rate. Obstetrics And Gynecology 2011, 118: 29-38. PMID: 21646928, PMCID: PMC3751192, DOI: 10.1097/aog.0b013e31821e5f65.Peer-Reviewed Original ResearchConceptsCesarean delivery ratePrimary cesarean deliveryCesarean deliveryMultiple gestationsFetal statusMaternal requestCesarean ratePrimary cesarean delivery rateLabor arrest disordersMaternal-fetal conditionsMaternal-fetal indicationsArrest of descentPrimary cesarean birthArrest of dilationPrimary cesarean rateDelivery rateMajor academic hospitalObstetric indicationsObstetric conditionsCesarean birthArrest disordersAcademic hospitalRelative riskLive birthsMacrosomia