+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

An overview of distribution of births in United States hospitals in 2008 with implications for small volume perinatal units in rural hospitals

An overview of distribution of births in United States hospitals in 2008 with implications for small volume perinatal units in rural hospitals

Journal of Obstetric, Gynecologic, and Neonatal Nursing 40(4): 432-439

To evaluate the distribution of births among United States (U.S.) hospitals in 2008 as part of the background for the Association of Women's Health, Obstetric and Neonatal Nurses' Guidelines for Professional Registered Nurse Staffing for Perinatal Units. Descriptive analysis of birth volumes in U.S. hospitals using American Hospital Association Annual Survey: 2008. U.S. hospitals providing obstetric (OB) services were identified based on information in any of three fields: OB services, OB beds, or number of births. Data were verified via telephone and/or website for the top 100 hospitals based on volume, hospitals with "Healthcare System" as part of their names, hospitals reporting births but no OB service, and hospitals reporting <100 births. Hospitals with <100 births were queried regarding nurse staffing. Descriptive statistics were used to analyze data. Approximately 3,265 U.S. hospitals offered OB services in 2008. The top 500 hospitals based on volume (15.3%) accounted for almost one half (47.4%) of births, the top 1,000 for 69.2%, and the remaining 2,265 for 30.8%. Fourteen percent of hospitals with <100 births in 2008 reported discontinuing OB services in 2010, in part due to lack of physician coverage and costs. Most hospitals (n=159, 72.3%) with <100 births routinely maintained two OB-skilled nurses in-house in 2010. U.S. births are unevenly distributed among hospitals; 15% have a disproportionate share of nearly one half of all births. Most hospitals (69.4%) are operating medium- to small-volume OB units. Most hospitals (72.3%) with <100 births annually reported currently meeting minimum staffing guidelines.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 051504769

Download citation: RISBibTeXText

PMID: 21645116

DOI: 10.1111/j.1552-6909.2011.01262.x

Related references

Is Antimicrobial Resistance a Bigger Problem in Tertiary Care Hospitals Than in Small Community Hospitals in the United States?. Clinical Infectious Diseases 65(5): 860-863, 2017

Isolated, small, and large hospitals have fewer nursing resources than urban hospitals: Implications for rural health policy. Public Health Nursing 2019, 2019

Assessing the status of infection control programs in small rural hospitals in the western United States. American Journal of Infection Control 32(5): 255-261, 2004

A comparison of quality of care indicators in urban acute care hospitals and rural critical access hospitals in the United States. International Journal for Quality in Health Care 19(3): 141-149, 2007

Association between Hospital Birth Volume and Maternal Morbidity among Low-Risk Pregnancies in Rural, Urban, and Teaching Hospitals in the United States. American Journal of Perinatology 33(6): 590-599, 2018

Pediatric vancomycin use in 421 hospitals in the United States, 2008. Plos One 7(8): E43258, 2013

Drive times to hospitals with perinatal care in the United States. Obstetrics and Gynecology 119(3): 611-616, 2012

Breast feeding in the United States: extent and possible trend: a survey of 1, 904 hospitals with two and a quarter million births in 1956. Pediatrics. 22: 116-121, 1958

The quality of perinatal care in small rural hospitals. JAMA 240(19): 2070-2072, 1978

Rural residents who are hospitalized in rural and urban hospitals: United States, 2010. Nchs Data Brief 2015(159): 1-8, 2015

Characteristics of inpatient psychiatric units in small rural hospitals. Psychiatric Services 61(6): 620-623, 2010

Current feeding practices in hospital maternity nurseries. Survey findings involving 2,928 United States hospitals with more than 2 1/2 million births in 1966. Clin. Pediat, 8: 69-72, 1969

Determinants of vancomycin use in adult intensive care units in 41 United States hospitals. Clinical Infectious Diseases 28(5): 1119-1125, 1999

Determinants of Vancomycin Use in Adult Intensive Care Units in 41 United States Hospitals. Clinical Infectious Diseases 28(5): 1119-1125, 1999

Epidemiology of pediatric hospitalizations at general hospitals and freestanding children's hospitals in the United States. Journal of Hospital Medicine 11(11): 743-749, 2016