Fetal injury associated with routine vacuum use during cesarean deliverySteven L Clark
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 198:e4. 2008
..In the absence of clear evidence of benefit, the routine use of vacuum extraction at the time of cesarean delivery is not justified, given its potential for serious fetal injury...
- Prediction of shoulder dystocia using multivariate analysis
Michael A Belfort
HCA Perinatal Safety Group, Nashville, Tennessee, USA
Am J Perinatol 24:5-10. 2007
..SD is independently associated with BW, GLU, and OVD, and may be predicted with clinically acceptable accuracy using multiple variables. This model may be useful in the design of prospective studies for managing suspected macrosomia...
- Variation in the rates of operative delivery in the United States
Steven L Clark
Hospital Corporation of America, Division of Perinatal Safety, Nashville, TN, USA
Am J Obstet Gynecol 196:526.e1-5. 2007
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- Amniotic fluid embolism
Steven L Clark
Women s and Children s Clinical Services, Clinical Services Group, Hospital Corporation of America, Nashville, Tennessee, USA
Clin Obstet Gynecol 53:322-8. 2010
..Newer biochemical markers may in the future enhance the specificity and sensitivity of this clinical diagnosis and could potentially lead to improved therapy...
- Maternal death in the 21st century: causes, prevention, and relationship to cesarean delivery
Steven L Clark
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 199:36.e1-5; discussion 91-2. e7-11. 2008
..We sought to examine etiology and preventability of maternal death and the causal relationship of cesarean delivery to maternal death in a series of approximately 1.5 million deliveries between 2000 and 2006...
- Reducing obstetric litigation through alterations in practice patterns
Steven L Clark
Hospital Corporation of America, Nashville, Tennessee, USA
Obstet Gynecol 112:1279-83. 2008
..To estimate the extent to which obstetric malpractice claims might be reduced by adherence to a limited number of specific practice patterns...
- Patient safety in obstetrics--the Hospital Corporation of America experience
Steven L Clark
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 204:283-7. 2011
..Our experience provides a useful blueprint for similar progress in other health care systems...
- Emergency department use during the postpartum period: implications for current management of the puerperium
Steven L Clark
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 203:38.e1-6. 2010
..The purpose of this study was to define patterns of morbidity that are experienced by women in the postpartum period who seek care in the emergency department within 42 and 100 days of discharge...
- Reduction in elective delivery at <39 weeks of gestation: comparative effectiveness of 3 approaches to change and the impact on neonatal intensive care admission and stillbirth
Steven L Clark
Hospital Corporation of America, Women s and Children s Clinical Service Group, Nashville, TN, USA
Am J Obstet Gynecol 203:449.e1-6. 2010
..No studies exist that have examined the effectiveness of different approaches to a reduction in elective early term deliveries or the effect of such policies on newborn intensive care admissions and stillbirth rates...
- Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety
Steven L Clark
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 199:105.e1-7. 2008
..Since the inception of this program, we have seen improvements in patient outcomes, a dramatic decline in litigation claims, and a reduction in the primary cesarean delivery rate...
- Hospital readmission after delivery: evidence for an increased incidence of nonurogenital infection in the immediate postpartum period
Michael A Belfort
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 202:35.e1-7. 2010
..The purpose of this study was to analyze reasons for postpartum readmission...
- Neonatal and maternal outcomes associated with elective term delivery
Steven L Clark
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 200:156.e1-4. 2009
..To quantify adverse neonatal and maternal outcomes associated with elective term delivery at less than 39 completed weeks of gestation...
- Reduction of severe hyperbilirubinemia after institution of predischarge bilirubin screening
Michael P Mah
Hospital Corporation of America, Nashville, Tennessee, USA
Pediatrics 125:e1143-8. 2010
..The objective of this study was to demonstrate efficacy of universal predischarge neonatal bilirubin screening in reducing potentially dangerous hyperbilirubinemia in a large, diverse national population...
- Pulmonary complications in pregnancy: considerations for care
Donna Frye
Hospital Corporation of America, Women s and Children s Clinical Services, Nashville, Tennessee, USA
J Perinat Neonatal Nurs 25:235-44. 2011
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- Term pregnancy: time for a redefinition
Steven L Clark
Women s and Children s Clinical Services Group, Hospital Corporation of America, Twin Bridges, MT 59754, USA
Clin Perinatol 38:557-64. 2011
..This article is a reevaluation of the concept of term pregnancy in light of current data...
- Sleep deprivation: implications for obstetric practice in the United States
Steven L Clark
Hospital Corporation of America, Nashville, TN, USA
Am J Obstet Gynecol 201:136.e1-4. 2009
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- Preventing maternal death: 10 clinical diamonds
Steven L Clark
Hospital Corporation of America, Nashville, Tennessee, USA
Obstet Gynecol 119:360-4. 2012
..Attention to these principles and the development and adoption of local or regional clinical protocols that address these issues will help reduce the likelihood and effect of error and of maternal mortality...
- Elective induction: an analysis of economic and health consequences
Steven L Clark
Am J Obstet Gynecol 188:1664-5; author reply 1665. 2003
- Temporal and demographic trends in cerebral palsy--fact and fiction
Steven L Clark
University of Utah School of Medicine, LDS Hospital, Salt Lake City, USA
Am J Obstet Gynecol 188:628-33. 2003
..Except in rare instances, cerebral palsy is a developmental event that is unpreventable given our current state of technology...
