Optimizing outcomes in obstetrics: cesarean delivery appropriateness nationally

Active Project Grant Awarded Last action

Award ID
F31NR022394
Recipient
Awarding agency
Obligated
$50,114

Award facts

Assistance listing
93.361 Nursing Research
Completion date 0% complete
Place of performance
Atlanta, GA 30322, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Maternal morbidity and mortality are increasing in the united states, with the vast majority of deaths being preventable. These poor outcomes are not distributed evenly across the US; in the midwest and south, perinatal outcomes are significantly worse compared to the west coast. One largely unexplored link between poor maternal outcomes and geographic distribution is obstetric processes of care, namely cesarean delivery. Cesarean delivery is a key antecedent to maternal morbidity and mortality, and its use varies widely between geographic areas. The purpose of this nrsa fellowship is to utilize a measure of risk-adjusted cesarean delivery use, the cesarean delivery appropriateness score, to examine whether cesarean over- or underuse influences the occurrence of severe maternal morbidity (SMM) events, and if community poverty contributes to use of cesarean. We will leverage a massive, nationally representative dataset (epic cosmos), geographic information system (GIS) mapping, spatial analysis, and multi-level modeling to achieve these goals. We theorize that maternal risk-adjusted use of cesarean delivery and SMM events will be distributed unevenly across the country, and that community-level poverty will influence occurrence of these outcomes. This project also includes a comprehensive training plan designed to prepare an obstetric nurse to be an independent research scientist with expertise in perinatal research, GIS mapping, and the influence of system-level factors on perinatal processes and outcomes.

Quick answers

Who received award F31NR022394?

F31NR022394 was awarded to Emory University by National Institute of Nursing Research (National Institutes of Health) on February 17, 2027.

How much is award F31NR022394 worth?

$50,114 has been obligated on F31NR022394.

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