{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:15:31Z","timestamp":1773285331162,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,1,22]],"date-time":"2017-01-22T00:00:00Z","timestamp":1485043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Herman L. and LeNan Gardner Research Fund\u00a0in Obstetrics and Gynecology"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the effectiveness of a multidisciplinary, team\u2010based approach to management of cesarean hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a retrospective chart review, data were analyzed from a quality assurance database of hysterectomies performed after cesarean delivery at one institution in the <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>. Patients were identified through billing codes for cesarean delivery, cross\u2010referenced to codes for hysterectomy. Demographic, reproductive, and outcome data were compared before (2000\u20132005) and after (2011\u20132013) implementation of a multidisciplinary team\u2010based protocol.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Across the two study periods, 107 cesarean hysterectomies were identified (69 pre\u2010implementation, 38 post\u2010implementation). In univariate analysis, the post\u2010implementation group had fewer days in surgical intensive care than did the pre\u2010implementation group (0.21\u00a0\u00b1\u00a00.41 vs 1.04\u00a0\u00b1\u00a02.44\u00a0days; <jats:italic>P=<\/jats:italic>0.011), and a lower frequency of febrile morbidity (4 [11%] vs 22 [32%]; <jats:italic>P=<\/jats:italic>0.033]. In multivariate analysis with adjustment for potential confounders, the likelihood of postoperative febrile morbidity was higher during the pre\u2010implementation than the post\u2010implementation period (adjusted odds ratio 3.5, 95% confidence interval 1.09\u201313.65; <jats:italic>P=<\/jats:italic>0.048).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Outcomes were improved after the multidisciplinary team\u2010based approach to cesarean hysterectomy was implemented. Team\u2010based approaches to care of women undergoing cesarean hysterectomy are important to improve outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12093","type":"journal-article","created":{"date-parts":[[2017,1,23]],"date-time":"2017-01-23T04:26:40Z","timestamp":1485145600000},"page":"57-62","source":"Crossref","is-referenced-by-count":10,"title":["The effectiveness of a multidisciplinary, team\u2010based approach to cesarean hysterectomy in modern obstetric practice"],"prefix":"10.1002","volume":"137","author":[{"given":"Caitlin","family":"Gillespie","sequence":"first","affiliation":[{"name":"School of Allied Health Science Physician Assistant Program Baylor College of Medicine  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haleh","family":"Sangi\u2010Haghpeykar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uma","family":"Munnur","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Baylor College of Medicine  Houston TX USA"},{"name":"Harris Health System  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya S.","family":"Suresh","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Baylor College of Medicine  Houston TX USA"},{"name":"Harris Health System  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold","family":"Miller","sequence":"additional","affiliation":[{"name":"Harris Health System  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon M.","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"},{"name":"Harris Health System  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2006.07.002"},{"key":"e_1_2_8_3_1","first-page":"1","article-title":"Recent trends in cesarean delivery in the United States","volume":"35","author":"Menacker F","year":"2010","journal-title":"NCHS Data Brief"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.07.030"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181df94fb"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000215561.68257.c5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000062"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610601016925"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.06.012"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200206000-00003"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.074"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2008.08.003"},{"key":"e_1_2_8_13_1","first-page":"89","article-title":"Placenta previa\/accreta and prior cesarean section","volume":"66","author":"Clark SL","year":"1985","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.08.019"},{"key":"e_1_2_8_15_1","first-page":"376","article-title":"Emergency hysterectomy for obstetric hemorrhage","volume":"64","author":"Clark SL","year":"1984","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(12)90838-8"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181ad9442"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12093","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12093","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T06:07:51Z","timestamp":1695881271000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,22]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1002\/ijgo.12093"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12093","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,22]]}}}