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Maternal and Child Health

Georgia Southern University

Electronic Theses and Dissertations

Childbirth

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Cutting The Cords: Provider, Payer, Policy And Maternity Outcomes In Selected U. S. States, Courtney Gustin Jan 2018

Cutting The Cords: Provider, Payer, Policy And Maternity Outcomes In Selected U. S. States, Courtney Gustin

Electronic Theses and Dissertations

Objective: The purpose of this study was to determine if there is variation in interventions and complications in the labors of women cared for by nurse midwives compared with physicians after controlling for medical risks and sociodemographic factors in pregnant women in Georgia, New Mexico, Illinois, Virginia, and Alaska.

Methods: The study was based on a secondary analysis of 2015 Birth Certificate Data from the National Center for Health Statistics. The outcome variables included VBAC, induction/augmentation of labor, third and fourth-degree laceration, and chorioamnionitis. The exposure of interest was provider type- nurse-midwife or physician. Multiple logistic regression was used to …