The impact of nurses’ and physicians’ shift change on obstetrical outcomes

Purpose To evaluate the effect around nurses’ shift change and on-call physicians’ shift change on obstetrical outcomes. Methods A retrospective study of women who had an attempt of labor in a single-medical center, January 2006–December 2017. Obstetrical outcomes were compared between the time arou...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2021-03, Vol.303 (3), p.653-658
Main Authors: Kadour-Peero, Einav, Sagi, Shlomi, Awad, Janan, Willner, Inbal, Bleicher, Inna, Levy, Eyal, Gonen, Ron, Vitner, Dana
Format: Article
Language:English
Subjects:
Adult
Apgar score
Birth Weight
Cesarean section
Childbirth & labor
Delivery, Obstetric
Endocrinology
Epidural
Female
Gestational age
Gynecology
Hemorrhage
Human Genetics
Humans
Infant, Newborn
Labor, Obstetric
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Nurses
Nurses - psychology
Obstetrics
Obstetrics/Perinatology/Midwifery
Parity
Physicians - psychology
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Outcome - epidemiology
Retrospective Studies
Shift work
Shift Work Schedule - psychology
Umbilical cord
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Summary:Purpose To evaluate the effect around nurses’ shift change and on-call physicians’ shift change on obstetrical outcomes. Methods A retrospective study of women who had an attempt of labor in a single-medical center, January 2006–December 2017. Obstetrical outcomes were compared between the time around nurses’ shift change (6:00–8:00, 14:00–16:00, and 22:00–00:00) to the rest of the day, and between the time around on-call physicians’ shift change (6:00–8:00, 14:00–16:00) to the rest of the day. Results 32,861 women were included, 7826 deliveries occurred during nurses’ shift-change, and 25,035 deliveries occurred during the rest of the day. The groups had similar general and obstetrical characteristics, with no statistical difference in cesarean delivery rate (10% vs. 9.8%, P  = 0.45) (Table 1 ). Nurses’ shift change had no measurable effect on obstetrical outcomes, including induction of labor, preterm labor, 5-min-Apgar score and cord pH value, except PPH which was less likely to occur during nurses’ shift change period (3.8% vs. 4.4%, P  = 0.045) (Table 2 ). From 32,861 deliveries, 5155 deliveries occurred during on-call physicians’ shift-change, and 27,706 deliveries occurred during the rest of the day. Induction\augmentation of labor and epidural analgesia were less likely to happen during on-call physicians’ shift change (34.4% vs. 38%, P  
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-020-05773-2