Janet A Meyers

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OBJECTIVE 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. STUDY DESIGN This was a retrospective medical records extraction of data from all maternal deaths in this time period, augmented when(More)
OBJECTIVE To quantify adverse neonatal and maternal outcomes associated with elective term delivery at less than 39 completed weeks of gestation. STUDY DESIGN Prospective observational study conducted in 27 hospitals over the course of 3 months in 2007. RESULTS Of 17,794 deliveries, 14,955 (84%) occurred at 37 weeks or greater. Of term deliveries, 6562(More)
OBJECTIVE 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. STUDY DESIGN We conducted a retrospective cohort study of prospectively collected data and examined outcomes in 27 hospitals(More)
OBJECTIVE 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. METHODS This was a 5-year prospective study directed at neonates who were aged < or =28 days and evaluated at facilities of the Hospital(More)
OBJECTIVE The purpose of this study was to analyze reasons for postpartum readmission. STUDY DESIGN We conducted a database analysis of readmissions within 6 weeks after delivery during 2007, with extended (180 day) analysis for pneumonia, appendicitis, and cholecystitis. Linear regression analysis, survival curve fitting, and Gehan-Breslow statistic with(More)
OBJECTIVE 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. STUDY DESIGN We conducted a retrospective examination of discharge diagnosis codes and descriptions for emergency department visits and analyzed(More)
OBJECTIVES This study was undertaken to examine the national and regional rates of operative delivery among almost one quarter million births in a single year in the nation's largest healthcare delivery system, using variation as an arbiter of the quality of decision making. STUDY DESIGN We compared the variation in rates of primary cesarean and operative(More)
OBJECTIVE To estimate the extent to which obstetric malpractice claims might be reduced by adherence to a limited number of specific practice patterns. METHODS We examined all 189 closed perinatal claims between 2000 and 2005 from a single, large, professional liability insurer. Each case was subjected to three separate analyses: 1) whether the adverse(More)
OBJECTIVE The purpose of this study was to examine the effects of a conservative and specific checklist-based protocol for oxytocin administration on maternal and newborn outcome. The protocol was based on maternal and fetal response to oxytocin rather than infusion rate. STUDY DESIGN This was a retrospective chart review and data extraction of the last(More)
OBJECTIVE The purpose of this study was to examine the efficacy of specific protocols that have been developed in response to a previous analysis of maternal deaths in a large hospital system. We also analyzed the theoretic impact of an ideal system of maternal triage and transport on maternal deaths and the relative performance of cause of death(More)