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Caesarean section rate and postnatal bed occupancy: a retrospective study replacing assumptions with evidence.


ABSTRACT: BACKGROUND:Obstetric units across the UK face resource pressures alongside a rising rate of Caesarean section (CS). It is assumed that this places a further burden in the form of postnatal bed demands. The number of inpatient beds has fallen nationally, and this may be used to justify attempts to restrict the CS rate. We set out to replace such assumptions with evidence. We did not find any similar contemporary analysis in a literature search. METHODS:The postnatal length of stay (LOS) of women delivering at Watford General Hospital, a large unit hosting around 5500 deliveries per annum, was stratified by mode of delivery. Differences within and across time periods were analysed. RESULTS:The CS rate rose from 14.5% in 1995 to 30.9% in 2015. The mean LOS post-CS declined from 4.2 to 2.4 days. These data were statistically significant to p?

SUBMITTER: Roy S 

PROVIDER: S-EPMC6173897 | biostudies-other | 2018 Oct

REPOSITORIES: biostudies-other

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Caesarean section rate and postnatal bed occupancy: a retrospective study replacing assumptions with evidence.

Roy Subhadeep S   Montgomery Irvine L L  

BMC health services research 20181005 1


<h4>Background</h4>Obstetric units across the UK face resource pressures alongside a rising rate of Caesarean section (CS). It is assumed that this places a further burden in the form of postnatal bed demands. The number of inpatient beds has fallen nationally, and this may be used to justify attempts to restrict the CS rate. We set out to replace such assumptions with evidence. We did not find any similar contemporary analysis in a literature search.<h4>Methods</h4>The postnatal length of stay  ...[more]

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