Asset Details
Do you wish to reserve the book?
Neonatal mortality in NHS maternity units by timing and mode of birth: a retrospective linked cohort study
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Neonatal mortality in NHS maternity units by timing and mode of birth: a retrospective linked cohort study
Do you wish to request the book?
Neonatal mortality in NHS maternity units by timing and mode of birth: a retrospective linked cohort study
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Neonatal mortality in NHS maternity units by timing and mode of birth: a retrospective linked cohort study
2023
Overview
ObjectivesTo compare neonatal mortality in English hospitals by time of day and day of the week according to care pathway.DesignRetrospective cohort linking birth registration, birth notification and hospital episode data.SettingNational Health Service (NHS) hospitals in England.Participants6 054 536 liveborn singleton births from 2005 to 2014 in NHS maternity units in England.Main outcome measuresNeonatal mortality.ResultsAfter adjustment for confounders, there was no significant difference in the odds of neonatal mortality attributed to asphyxia, anoxia or trauma outside of working hours compared with working hours for spontaneous births or instrumental births. Stratification of emergency caesareans by onset of labour showed no difference in mortality by birth timing for emergency caesareans with spontaneous or induced onset of labour. Higher odds of neonatal mortality attributed to asphyxia, anoxia or trauma out of hours for emergency caesareans without labour translated to a small absolute difference in mortality risk.ConclusionsThe apparent ‘weekend effect’ may result from deaths among the relatively small numbers of babies who were coded as born by emergency caesarean section without labour outside normal working hours. Further research should investigate the potential contribution of care-seeking and community-based factors as well as the adequacy of staffing for managing these relatively unusual emergencies.
Publisher
British Medical Journal Publishing Group,BMJ Publishing Group LTD,BMJ Publishing Group
