The causal effect of delivery volume on severe maternal morbidity: an instrumental variable analysis in Sichuan, China

N Chen, J Pan - BMJ Global Health, 2022 - gh.bmj.com
Objective Findings regarding the association between delivery volume and maternal health
outcomes are mixed, most of which explored their correlation. This study aims to …

Gaps in Stillbirth Bereavement Care: A Cross-Sectional Survey of US Hospitals by Birth Volume

KJ Gold, ME Boggs, MA Plegue - Maternal and Child Health Journal, 2024 - Springer
Objectives The quality and scope of perinatal bereavement care in the United States has
been evaluated by surveying bereaved parents, but little is known about how care varies …

Association of prenatal stress with distance to delivery for pregnant women in Western North Carolina

R Woodward, ES Mazure, CM Belden, S Denslow… - Midwifery, 2023 - Elsevier
Purpose Rural areas throughout the US continue to see closures of maternity wards and
decreasing access to prenatal and intrapartum care. Studies examining closure's impacts …

Exploring the influence of medical staffing and birth volume on observed-to-expected cesarean deliveries: a panel data analysis of integrated obstetric and …

A Stöcker, H Pfaff, N Scholten, L Kuntz - The European Journal of Health …, 2025 - Springer
Methods The analysis utilized quality reports from German hospitals spanning 2015 to 2019.
The outcome variable was the annual risk-adjusted cesarean section ratio—a metric …

[HTML][HTML] Assessing the Impact of Distance Traveled and Birth Volumes of Hospital Maternity Units on Newborn Outcomes: Population-Based Cohort Study

A Cantarutti, R Boracchini, R Bellù… - JMIR Public Health …, 2025 - publichealth.jmir.org
Background: The centralization of childbirth and newborn care in large maternity units has
become increasingly prevalent in Europe. While this trend offers potential benefits such as …

Intrapartum Quality of Care among Healthy Women: A Population-Based Cohort Study in an Italian Region

S Fumagalli, A Nespoli, M Panzeri, E Pellegrini… - International Journal of …, 2024 - mdpi.com
Although the quality of care during childbirth is a maternity service's goal, less is known
about the impact of the birth setting dimension on provision of care, defined as evidence …

Hospital obstetric volume and maternal outcomes: Does hospital size matter?

N Holowko, LV Ladfors, AK Örtqvist… - Acta Obstetricia et …, 2025 - Wiley Online Library
Introduction In recent decades, centralization of health care has resulted in a number of
obstetric unit closures. While studies support better infant outcomes in larger facilities, few …

Navigating geographical disparities: access to obstetric hospitals in maternity care deserts and across the United States

J Fontenot, C Brigance, R Lucas… - BMC Pregnancy and …, 2024 - Springer
Background Access to maternity care in the US remains inequitable, impacting over two
million women in maternity care “deserts." Living in these areas, exacerbated by hospital …

Efficiency of Obstetric Services in Germany—The Role of Variation and Overheads

S Flessa - Healthcare, 2023 - mdpi.com
The number of obstetric departments in German hospitals has declined in the last decades.
In particular, rural hospitals are challenged to sustain their delivery services. In this paper …

Mode of delivery in antepartum singleton stillbirths and associated risk factors

K Underwood, UM Reddy, H Hosier… - American Journal of …, 2024 - thieme-connect.com
Objective This study was aimed to investigate delivery management of patients with
antepartum stillbirth. Study Design Using data from fetal death certificates and linked …