The rapid increase in cesarean delivery in the United States since 1970 has signalled the need for an in-depth assessment of this technology and its current application. The proposed study uses a hospital-based case-control design to understand the factors related to the outcome of surgical birth. Phase I of the project is designed to determine the extent to which the need for a primary cesarean delivery is based on information detectable before labor begins versus information known only after the onset of labor. Phase II examines diptoria (difficult labor) as it relates to the use of cesarean section. A logistical regression analysis will be carried out in order to assess the way in which characteristics of physicians (time of training, speciality, type of practice) and patients (mode of payment), modify the probability that a woman with prolonged labor will have a surgical birth. Cases and controls will be selected from two existing computerized perinatal data bases: the Regional Perinatal Project data base at Los Angeles County/Harbor/UCLA Medical Center, and the Cedars-Sinai detailed antepartum, intrapartum and newborn outcome data, and will be linked with information about the delivering physicians.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Small Research Grants (R03)
Project #
3R03HS005577-01S1
Application #
3427073
Study Section
(NSS)
Project Start
1986-04-01
Project End
1987-09-30
Budget Start
1986-04-01
Budget End
1987-09-30
Support Year
1
Fiscal Year
1987
Total Cost
Indirect Cost
Name
Individual Award - Mc Closkey, Lois
Department
Type
DUNS #
City
Santa Monica
State
CA
Country
United States
Zip Code
90505