Publications by authors named "Jordan T Levine"

Article Synopsis
  • The study developed a machine learning tool to evaluate cesarean delivery rates at hospitals, aiming to compare physician performance against overall hospital statistics.
  • Data were collected from over 12,800 singleton deliveries in Illinois, focusing on cases from January 2015 to February 2018 to create accurate benchmarks.
  • The findings revealed a cesarean delivery rate of 18.6%, with significant variations among different physician practices, allowing for tailored performance assessments that highlight both high and low performers relative to the hospital average.
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Background: Management of the second stage of labor continues to be a clinical challenge with unclear indications for abandoning attempts at spontaneous vaginal delivery. The conflict between diminishing chances of spontaneous vaginal delivery and increasing maternal and neonatal morbidity is difficult to quantify, leading to significant variation in management between providers, and variation in rates of operative vaginal delivery and cesarean birth.

Objective: The objective of the study was to develop an hourly prediction model for spontaneous vaginal delivery during the second stage of labor in nulliparous women with epidural anesthesia.

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To evaluate whether extremely prolonged second stage of labor in nulliparous women affects mode of delivery and perinatal outcomes. We performed a retrospective cohort study of nulliparous women with singleton gestations and cephalic presentation who reached 10 cm of cervical dilation at gestational age 36 0/7-41 6/7. Women were stratified by epidural status.

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