{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T07:49:25Z","timestamp":1698738565762},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T00:00:00Z","timestamp":1354665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We propose a methodology for identifying and analysing \u2018elective\u2019 preterm births (<jats:styled-content style=\"fixed-case\">PTBs<\/jats:styled-content>) using administrative data, and apply this methodology to <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>alifornia data with the objective of providing a framework to further explore the potential rationales for early delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>alifornia linked birth cohorts for 1999, 2002 and 2005, singleton <jats:styled-content style=\"fixed-case\">PTBs<\/jats:styled-content> were identified using birth certificate gestational age\u2009\u2265\u200924 and &lt;37 weeks. Through a hierarchical scheme that first removed cases with standard or \u2018hard\u2019 indications for early delivery (e.g. severe preeclampsia, placenta previa), cases of \u2018elective\u2019 <jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content> were identified with coding for medical intervention, that is, elective caesarean or labour induction. We calculated rates of elective <jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>, with subanalyses of early (&lt;34 weeks of gestational age) and late <jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content> (34 to &lt;37 weeks of gestational age) using hierarchical logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1\u2009387\u2009565 singleton deliveries, 99\u2009614 (7.2%) were preterm. Elective <jats:styled-content style=\"fixed-case\">PTBs<\/jats:styled-content> increased 27.7% over the 6\u2010year study period, with nearly all cases confined to the late <jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content> stratum; elective late <jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content> rates rose from 10.5% to 13.5% of all late <jats:styled-content style=\"fixed-case\">PTBs<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Indications for delivery in this Elective Group (\u2018soft indications\u2019) included prior pelvic floor repair, mental health conditions, fetal anomalies, malpresentation and oligohydramnios. Six per cent of patients with a late <jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content> had a medical intervention with no hard or soft indication for delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Using administrative data, we developed a method for identifying and trending the proportion of <jats:styled-content style=\"fixed-case\">PTBs<\/jats:styled-content> that is \u2018elective\u2019. This method can be used to explore and monitor potential strategies for the prevention of elective <jats:styled-content style=\"fixed-case\">PTB<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12018","type":"journal-article","created":{"date-parts":[[2012,12,6]],"date-time":"2012-12-06T02:50:37Z","timestamp":1354762237000},"page":"44-53","source":"Crossref","is-referenced-by-count":1,"title":["Trending Elective Preterm Deliveries Using Administrative Data"],"prefix":"10.1111","volume":"27","author":[{"given":"Lisa M.","family":"Korst","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Keck School of Medicine University of Southern California  Los Angeles CA"},{"name":"Childbirth Research Associates  North Hollywood CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moshe","family":"Fridman","sequence":"additional","affiliation":[{"name":"AMF Consulting  Los Angeles CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael C.","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, David Geffen School of Medicine UCLA  Los Angeles CA"},{"name":"Department of Community Health Sciences, School of Public Health UCLA  Los Angeles CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Fleege","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Burns Allen Research Institute Cedars\u2010Sinai Medical Center  Los Angeles CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connie","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Maternal, Child and Adolescent Health Division California Department of Public Health  Sacramento CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly D.","family":"Gregory","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, David Geffen School of Medicine UCLA  Los Angeles CA"},{"name":"Department of Community Health Sciences, School of Public Health UCLA  Los Angeles CA"},{"name":"Department of Obstetrics and Gynecology, Burns Allen Research Institute Cedars\u2010Sinai Medical Center  Los Angeles CA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0904308"},{"key":"e_1_2_6_3_1","first-page":"1","article-title":"Born a bit too early: recent trends in late preterm births","volume":"24","author":"Martin JA","year":"2009","journal-title":"NCHS Data Brief"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0018"},{"key":"e_1_2_6_5_1","first-page":"1","article-title":"Are preterm births on the decline in the United States? 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