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Table 2 Characteristics of included studies

From: Are birth outcomes in low risk birth cohorts related to hospital birth volumes? A systematic review

Study

Period

Country

Birth population

Grouped annual hospital volume

Outcomes

Outcome definition

Finnstrom et al. 2006[27]

1985–1999

SWE

births: all singletons (n = 1.538.814)

 < 500, 500–999, 1000–2499 (ref.), ≥ 2500

1) neonatal mortality

1) ≤ 27d

Friedman et al. 2016[28]

1998–2010

US

women: all hospital (n = 50.433.539)

50, 1000 (ref.), 1500, 2250

1) maternal mortality

2) maternal complications

1) failure to rescue

2) severe morbidity1

Heller et al. 2002[29]

1990–1999

GER

births: BW > 2500 g (n = 582.655);

 ≤ 500, 501–1000, 1001–1500, > 1500 (ref.)

1) Early-neonatal death

1) ≤ 7d

Hemminki et al. 2011[30]

1991–2008

FIN

births: all (n = 474.419) + BW > 2499 g in non-UH

 < 750, 750–1499, ≥ 1500, UH (ref.)

1) perinatal mortality

2) CS

1) ≤ 7d

Joyce et al. 2004[31]

1994–1996

UK

births: all (n = 540.834)

N/A: Volume entered the analysis as continuous variable

1) stand. stillbirth rates

2) stand. neonatal mortality

1) > 24 wk GA

2) ≤ 28d

Karalis et al. 2016[32]

2005–2009

FIN

births: low risk2 (n = 276.066)

births: ≤ 999, 1000–1999, ≥ 2000, UH (ref.)

1) stillbirths

2) early neonatal death

1) Intrapartum: undefined

2) undefined

Moster et al. 2001[33]

1967–1996

NO

births: all (n = 1.650.852)

 ≤ 100, 101–500, 501–1000, 1001–2000, 2001–3000, > 3000 (ref.)

1) neonatal mortality

1) ≤ 28d

Pyykonen et al. 2014[34]

2006–2010

FIN

women: all3 (n = 290.288) + low risk4 (n = 276.287)

 < 1000, 1000–2999 (ref.), < 3000

1) perinatal mortality

2) neonatal mortality

3) early neonatal mortality

4) stillbirths

1) stillbirth + death ≤ 7d

2) ≤ 28d

3) ≤ 7d

4) ≥ 22wk GA

Snowden et al. 2012[35]

2006

US

women: all (n = 527.617), low risk5

Urban: ≤ 50–1199 (ref.), 1200–2399, 2400–3599; ≥ 3600

Rural: 50–599 (ref.) 600–1699; ≥ 1700

1) neonatal mortality

1) undefined

Tracy et al. 2006[36]

1999–2001

AUS

births: low risk/ term6 (n = 331.147)

 < 100, 100–500, 501–1000, 1001–2000, > 2001 (ref.)

1) neonatal mortality

2) CS (labour)

3) Overall CS

1) ≤ 28d

de Graaf et al. 2010[38]

2000–2006

NEL

women: singleton (n = 655.961)

 < 750, 750–999, 1000–1249, 1250–1499, 1500–1749, ≥ 1750 (ref.)

1) perinatal mortality

2) neonatal complications

1) ≤ 7d

2) Perinatal adverse outcome7

Restrepo et al. 2018[39]

2012

US

births: live 20–44 wk GA (n = 32.140)

N/A: Volume entered the analysis as continu-ous variable

1) neonatal mortality

1) ≤ 28d

Aubrey-Brassler et al. 2019[37]

2006–2009

CA

women: all (n = 820.761)/

births: all (n = 827.504)

No services usually; 1–49; 50–99; 100–199; 200–499; 500–999; 1000–2499, > 2500 (ref.)

1) perinatal mortality

2) maternal complications

1) Death […]8

2) Maternal Morbidity & Mortality9

  1. Notes:
  2. 1: heart/ renal/ respiratory failure, acute myocardial infarction, liver disease, disseminated intravascular coagulation, coma, delirium, puerperal cerebrovascular disorders, pulmonary edema or embolism, sepsis, shock, status asthmaticus, status epilepticus
  3. 2; Exclusion: Low BW, multiple pregnancy, antepartum stillbirth, out-of-hospital birth, major congenital anomalies, birth defects
  4. 3: Exclusion: birth in university hospital, length of stay > 7d
  5. 4: Exclusion: birth in university hospital, length of stay > 7d, multiple pregnancy, pre-/postterm birth
  6. 5: Exclusion: preterm birth, low BW
  7. 6: Exclusion: Low BW, multiple pregnancy, preterm, age, complications
  8. 7: intrapartum death, death ≤ 7d, 5-min Apgar < 7, NICU transfer
  9. 8: sudden infant death syndrome, sudden cardiac death, stillbirth (GA ≤ 20 wk), in-hospital death liveborn neonate
  10. 9: Eclampsia, Previa with hemorrhage abruption, Intrapartum + postpartum hemorrhage + transfusion or hysterectomy, Rupture of uterus before or during labor, Obstetric shock, Sepsis, Other complications of obstetric procedures, Obstetric embolism, Cardiovascular disease, Acute renal failure, Death, obstetric or unspecified, Neurologic disease, Hematologic disease, Respiratory disease, Diabetic ketoacidosis, Peritonitis or parametritis, Toxic liver disease or hepatic failure, Canadian Classification of Health Interventions, Assisted ventilation or resuscitation, Dialysis, Hysterectomy, Evacuation of incisional hemato-ma, Repair of bladder, urethra or intestine, Embolization or ligation of pelvic vessels or suturing of uterus, Blood transfusion