There is no national benchmark for an acceptable rate of early elective delivery
, so Leapfrog tapped an expert panel to say that 12% or fewer would be acceptable.
Some hospitals are still reporting early elective delivery
rates higher than 20 and 30 percent, which means there is still work to be done," added Binder.
Physicians who wanted to schedule an early-term elective delivery
were required to obtain permission from their hospital's ob.
The attributable risk of the primary outcome due to elective delivery
before 39 weeks of gestation was 48% at 37 weeks, a result implying that postponing elective delivery
to 39 weeks might prevent 48% of cases of the primary outcome," Dr.
Timing of delivery is elective delivery
between 37 weeks and 5 days' gestation and 38 weeks and 6 days' gestation followed by either C-section or by inducing labor.
Meeting CMS' interim performance improvement targets in eight areas of focus and exceeding the 30 percent goal in areas such as early elective delivery
, surgical site infections, falls, ventilator-associated pneumonia and pressure ulcers.
Delivery by 38 weeks' gestation is advisable, and some physicians suggest elective delivery
by 37 weeks to decrease the risk of stillbirth, but it's not clear whether the potential benefits of delivering at 37 weeks outweigh the risks from preterm delivery, Dr.
The quality improvement program provides information and education to help hospitals, clinicians and patients better understand the consequences of early elective delivery
and the importance of the last weeks of pregnancy in the full-term, 39 week developmental process.
Of the 296 patients being delivered by scheduled cesarean section for elective indications at the hospital, 222 (75%) were delivered in accordance with the American College of Obstetricians and Gynecologists' recommendations for timing of elective delivery