Presenter Information

Samantha MartinezFollow

Start Date

17-11-2017 10:00 AM

End Date

17-11-2017 11:30 AM

Description

Cesarean Births Are More Beneficial to Hospitals Than Natural Births: An Integrative Review

Samantha Martinez

Faculty Sponsor: Elizabeth Hartman

Abstract

Background: In the last two decades, cesarean section rates have risen 60 percent and a large percentage was due to new mothers and not repeat cesarean sections. The American College of Obstetricians and Gynecologists (ACOG), disclosed that for every 100,000 births that occur in the United States, four women die from vaginal birth complications and 13 die from cesarean complications.

Objectives: The purpose of the intended integrated literature review was to explore the need for cesarean section and increase awareness regarding such. This literature review also focuses on education on aspects regarding hospital and physician benefit stemming from cesarean sections performed.

Methods: This integrative literature review was conducted using keywords “physician incentive plan and cesarean birth” to search the literature between October 2016 to November 2016.

Results: The review of literature conducted in this research reveal that fall in fertility rate, increase in the concentration of OBGYN physicians in an area, and recent malpractice suit and number of previous c-sections performed by physician all lead to increases in cesarean sections. Cesarean deliveries also increased on weekdays specifically Fridays as well as during the day between 6am-6pm in large and profitable hospitals.

Conclusions: There is no reliable way to put incentives into numbers; there are just predictions and the detection of trends. Although most studies show the correlation between an institution and physician incentive with the rise in cesarean sections, the evidence can be coincidental or have limitations that need to be looked into further. It also does not necessarily mean it was for financial benefit, other reasons such as time management could be the incentive.

Keywords: Physician incentive plan, cesarean birth

Included in

Nursing Commons

Share

COinS
 
Nov 17th, 10:00 AM Nov 17th, 11:30 AM

Cesarean Births Are More Profitable to Hospitals Versus Natural Births

Cesarean Births Are More Beneficial to Hospitals Than Natural Births: An Integrative Review

Samantha Martinez

Faculty Sponsor: Elizabeth Hartman

Abstract

Background: In the last two decades, cesarean section rates have risen 60 percent and a large percentage was due to new mothers and not repeat cesarean sections. The American College of Obstetricians and Gynecologists (ACOG), disclosed that for every 100,000 births that occur in the United States, four women die from vaginal birth complications and 13 die from cesarean complications.

Objectives: The purpose of the intended integrated literature review was to explore the need for cesarean section and increase awareness regarding such. This literature review also focuses on education on aspects regarding hospital and physician benefit stemming from cesarean sections performed.

Methods: This integrative literature review was conducted using keywords “physician incentive plan and cesarean birth” to search the literature between October 2016 to November 2016.

Results: The review of literature conducted in this research reveal that fall in fertility rate, increase in the concentration of OBGYN physicians in an area, and recent malpractice suit and number of previous c-sections performed by physician all lead to increases in cesarean sections. Cesarean deliveries also increased on weekdays specifically Fridays as well as during the day between 6am-6pm in large and profitable hospitals.

Conclusions: There is no reliable way to put incentives into numbers; there are just predictions and the detection of trends. Although most studies show the correlation between an institution and physician incentive with the rise in cesarean sections, the evidence can be coincidental or have limitations that need to be looked into further. It also does not necessarily mean it was for financial benefit, other reasons such as time management could be the incentive.

Keywords: Physician incentive plan, cesarean birth