{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T23:16:31Z","timestamp":1783552591484,"version":"3.55.0"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Induction of labor (IOL) and hospitalist coverage are becoming more common. While hospitalist coverage has been associated with improved maternal outcomes and lower cesarean delivery rates, its impact on IOL remains unclear. The objective of this study was to compare the induction time to vaginal delivery across three obstetric coverage models: hospitalists, faculty generalists, and private practice generalists.<\/jats:p>\n                  <jats:p>This single-site retrospective cohort study analyzed singleton, term (\u226539 weeks), vertex patients undergoing IOL at NYU Langone Hospital-Long Island from January 1, 2022, to September 30, 2022. Hospitalists at this institution managed high-risk obstetric patients, including those under maternal\u2013fetal medicine care, resident clinic, and unregistered patients who presented to labor and delivery, along with serving as labor and delivery safety officer on the labor floor. Faculty and private practice generalists managed their respective groups. Outcomes included induction time to vaginal delivery, mode of delivery, induction methods, and maternal and neonatal complications. Statistical analyses included chi-square, ANOVA, and multivariable linear regression. A p-value of\u2009&lt;\u20090.05 was statistically significant.<\/jats:p>\n                  <jats:p>Among 403 patients, 92 (22.8%) were managed by hospitalists, 115 (28.5%) by faculty, and 196 (48.6%) by private generalists. Median (IQR) induction-to-delivery times were similar across groups: hospitalists 20.5 (15.3\u201327.5) hours, faculty 23.4 (16.5\u201331.1) hours, and private 19.7 (14.1\u201325.6) hours (p\u2009=\u20090.004). However, when limited to vaginal deliveries, no significant difference was observed in induction-to-vaginal-delivery time (p\u2009=\u20090.17). Private generalists had the shortest induction-to-cesarean time and time to membrane rupture leading to cesarean. There were no differences in intrapartum or postpartum complications. Hospitalists had more NICU admissions after vaginal delivery, mostly unrelated to labor.<\/jats:p>\n                  <jats:p>Induction-to-vaginal delivery times and complication rates were similar across coverage models, but differences in NICU admissions and cesarean delivery times highlight care variations. Collaboration and evidence-based standardized induction protocols may optimize outcomes across coverage models.<\/jats:p>","DOI":"10.1055\/a-2752-8730","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:13:12Z","timestamp":1764029592000},"page":"1322-1327","source":"Crossref","is-referenced-by-count":0,"title":["Induction Time to Vaginal Delivery: A Comparison of Obstetric Coverage Models"],"prefix":"10.1055","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0156-3505","authenticated-orcid":false,"given":"Amberly","family":"Lao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Sommers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphina","family":"Maldonado","sequence":"additional","affiliation":[{"name":"NYU Grossman Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilly","family":"Drohan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata","family":"Kantorowska","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Maternal\u2013Fetal Medicine, Long Island Jewish Medical Center at Northwell Health, New Hyde Park, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevan","family":"Vahanian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4648-0583","authenticated-orcid":false,"given":"Patricia","family":"Rekawek","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Suhag","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karyn","family":"Wat","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, NYU Langone Health, NYU Langone Hospital, Long Island, NYU Long Island School of Medicine, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1056\/NEJMoa1800566","article-title":"Labor induction versus expectant management in low-risk nulliparous women","volume":"379","author":"W A Grobman","year":"2018","journal-title":"N Engl J Med"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/AOG.0000000000005217","article-title":"Effects of the ARRIVE (a randomized trial of induction versus expectant management) trial on elective induction and obstetric outcomes in term nulliparous patients","volume":"142","author":"E Nethery","year":"2023","journal-title":"Obstet Gynecol"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"e2328274","DOI":"10.1001\/jamanetworkopen.2023.28274","article-title":"Rates of induction of labor at 39 weeks and cesarean delivery following publication of the ARRIVE Trial","volume":"6","author":"R Wood","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"e81","DOI":"10.1097\/AOG.0000000000001317","article-title":"Committee opinion no. 657: the obstetric and gynecologic hospitalist","volume":"127","author":"The Obstetric and Gynecologic Hospitalist Committee Opinion No","year":"2016","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/PTS.0000000000001102","article-title":"Use of obstetric and gynecologic hospitalists is associated with decreased severe maternal morbidity in the United States","volume":"19","author":"V E Torbenson","year":"2023","journal-title":"J Patient Saf"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"251.e1","DOI":"10.1016\/j.ajog.2013.06.040","article-title":"Implementation of a laborist program and evaluation of the effect upon cesarean delivery","volume":"209","author":"B K Iriye","year":"2013","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"100294","DOI":"10.1016\/j.ajogmf.2020.100294","article-title":"Evidence-based protocol decreases time to vaginal delivery in elective inductions","volume":"3","author":"S C Suresh","year":"2021","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"12","key":"ref8","first-page":"534","article-title":"The collaborative laborist and midwifery model: an accepted and sustainable model","volume":"71","author":"K Krolikowski-Ulmer","year":"2018","journal-title":"S D Med"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2752-8730.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T22:47:51Z","timestamp":1783550871000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2752-8730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":8,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,7,8]]},"published-print":{"date-parts":[[2026,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2752-8730","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11,24]]},"published":{"date-parts":[[2025,11,24]]}}}