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. Author manuscript; available in PMC: 2015 Aug 1.
Published in final edited form as: Am J Obstet Gynecol. 2014 Mar 12;211(2):147.e1–147.e16. doi: 10.1016/j.ajog.2014.03.017

Table 3.

Observed hospital frequencies of types of obstetric care

Lowest Percent Median Percent Highest Percent
Labor inductiona 20.8 28.2 37.1
Dilation ≤ 2 cm at admissionb 6.6 13.6 25.9
Maximum oxytocin ≥ 20 mU/minutec 8.7 17.6 46.3
≥ 80% of labor augmented with oxytocind 1.0 10.1 22.6
≥ 1 hour between complete dilation and initiation of pushinge 0.8 10.9 21.2
≥ 2 hours between initiation of pushing to deliverye 4.4 9.1 19.2
≥ 8 hours active phasef 2.9 8.3 19.2
< 1 vaginal exam per every 3 hours in first stageg 2.9 21.0 43.7
Vaginal deliveryh 60.6 70.1 79.5
Episiotomyi 0.7 7.0 35.4
Epidural/regional anesthesiaj 45.3 77.7 89.7
General anesthesiak 1.1 6.5 14.8
Elective delivery < 39 weeks without documented fetal lung maturityl 0.2 0.5 12.2
a

In patients with no previa and no history of classical, T, or J cesarean (N = 113,049);

b

In patients at term with intact membranes and spontaneous intended labor with no previa and cervical dilation measured within one hour before or after L&D admission (N = 46,068);

c

In patients who received oxytocin in labor (N = 58,228);

d

In patients with spontaneous intended labor admitted to L&D before delivery (N = 61,157);

e

In patients who reached complete after intended labor (N = 60,290);

f

In patients with intended labor who reached active stage (5 cm) with a term non-anomalous singleton pregnancy (N = 71,571);

g

In patients with intended labor managed in hospital for greater than 1 hour during first stage (N = 81,826);

h

In all patients (N = 115,502);

i

In patients with a vaginal delivery and no shoulder dystocia (N = 77,071);

j

In patients with non-operative vaginal delivery of a singleton, no shoulder dystocia and reached complete after intended labor (N = 70,362);

k

In patients with a cesarean delivery (N = 36,201);

l

In patients with a term non-anomalous singleton pregnancy (N = 98,509).