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Is There Evidence of Poorer Birth Outcomes for Mothers and Babies When the Most Senior Obstetrician Is Not On Site?


In this Perspective on the study by Hannah Knight and colleagues, Jenny Myers and Edward Johnstone consider the implications of negative findings in a variable setting in which adverse events are rare.


Vyšlo v časopise: Is There Evidence of Poorer Birth Outcomes for Mothers and Babies When the Most Senior Obstetrician Is Not On Site?. PLoS Med 13(4): e32767. doi:10.1371/journal.pmed.1002001
Kategorie: Perspective
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1002001

Souhrn

In this Perspective on the study by Hannah Knight and colleagues, Jenny Myers and Edward Johnstone consider the implications of negative findings in a variable setting in which adverse events are rare.


Zdroje

1. Freemantle N, Richardson M, Wood J, Ray D, Khosla S, Shahian D, et al. Weekend hospitalization and additional risk of death: an analysis of inpatient data. Journal Royal Soc Med. 2012; 105: 74–84.

2. Pasupathy D, Wood AM, Pell JP, Fleming M, Smith GC. Time of birth and risk of neonatal death at term: retrospective cohort study. BMJ. 2010; 341: c3498. doi: 10.1136/bmj.c3498 20634347

3. Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015; 351: h5774. doi: 10.1136/bmj.h5774 26602245

4. Crump H. Seven day working: why the health secretary's proposal is not as simple as it sounds. BMJ. 2015; 351: h4473. doi: 10.1136/bmj.h4473 26347532

5. Knight H, van der Meulen J, Gurol-Urganci I, Smith GC, Kiran A, Thornton S, et al. Birth 'out-of-hours': an evaluation of obstetric practice and outcome according to the presence of senior obstetricians on the labour ward. PLoS Med. 2016; 4: e1002000. doi: 10.1371/journal.pmed.1002000

6. RCOG RCM, RCA, RCPCH. Safer Childbirth: Minimum standards for the organisation and delivery of care in labour. London; 2007. https://www.rcog.org.uk/globalassets/documents/guidelines/wprsaferchildbirthreport2007.pdf

Štítky
Interné lekárstvo

Článok vyšiel v časopise

PLOS Medicine


2016 Číslo 4
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Autori: MUDr. Tomáš Ürge, PhD.

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