Qualifying hospitals are designated as having an Elective Delivery
Infant Safety Program in Aetna's DocFind[R] online provider directory.
Enter Dodd and colleagues, who conducted their randomized, controlled trial to assess the risks and benefits of elective delivery
of twins at 37 weeks.
There was still a wide variation among the hospitals in the Leapfrog survey with early elective delivery
rates ranging from a low of less than 5% to more than 40%, according to the 2011 data.
It includes a literature review about the risks of early elective delivery
, a step-by-step guide for hospital leaders who want to eliminate early elective deliveries, a guide for measuring and tracking quality improvement, sample forms and case studies, and educational tools for clinicians, staff, and patients.
health insurers - Aetna, CIGNA, UnitedHealthcare, and Wellpoint - will conduct a campaign to educate expectant mothers about the importance of a full gestation and the wisdom of comparing elective delivery
rates in their local hospitals, Ms.
After 6 years with the program in place, the near-term elective delivery
rate remained less than 3%, Dr.
NQF: No elective delivery
until 39 weeks of gestation are past
The authors estimated that, at 37 weeks' gestation, postponing elective delivery
until 39 weeks might prevent 48% of cases of the primary outcome; this percentage was estimated to be 27% at 38 weeks' gestation.
Best-obstetrical-practice recommendations advise against prelabor elective delivery
before 39 weeks, unless fetal lung maturity has been demonstrated.
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.