TABLE 3

Unexpected Complication Rates by Health Service Factors and Year (Florida, 2004–2013)

Term BirthsUnexpected Complication Rate (per 1000 Live Births)
TotalSevereModerate
Total1 604 77436.718.018.7
Individual
Adequacy of prenatal care (GINDEX)Intensive or adequate550 70534.417.017.4
Intermediate593 78636.218.617.6
Inadequate315 00538.320.318.0
No care15 23770.638.132.5
Unknown130 04140.720.320.4
Timing or reason for delivery initiationSpontaneous, 37–38 wk264 07141.321.919.4
MI induction or CS at 37–38 wka139 89353.327.126.2
NMI induction at 37–38 wk49 84330.416.613.8
NMI CS at 37–38 wk (without labor)78 71430.814.316.5
≥39 wk, with medical indicationa468 90043.620.922.7
≥39 wk, without medical indication603 35326.714.412.3
Delivery day of weekWeekday (Monday–Friday)1 314 54035.718.217.5
Weekend (Saturday–Sunday)290 23441.121.020.1
Hospital
Level of NICU and birth volume quartilebLevel I, bottom42 39240.09.530.5
Level I, second–third189 37039.014.025.0
Level I, top185 79936.015.820.2
Level II, bottom63 26246.521.525.0
Level II, second–third247 93338.718.919.8
Level II, top197 85328.616.312.3
Level III, bottom89 23932.216.615.6
Level III, second–third315 00238.423.814.6
Level III, top273 92436.321.215.1
Medicaid births percentage quartilebBottom624 67828.915.513.4
Second–third829 57340.520.619.9
Top150 52348.622.026.6
Florida geographic locationcNorthwestern110 85341.821.120.7
Northeastern187 26036.918.218.7
Central391 68135.719.815.9
Western347 08932.917.515.4
Eastern332 05732.417.614.8
Southern235 83447.619.628.0
Year of delivery2004–2005317 31136.619.417.2
2006–2007337 56134.317.716.6
2008–2009329 51636.018.217.8
2010–2011311 45738.218.819.4
2012–2013308 92938.619.519.1
  • CS, cesarean delivery; GINDEX, Graduated Index of Prenatal Care Utilization; MI, medically indicated.

  • a The Joint Commission’s List of Conditions Possibly Justifying Elective Delivery Prior to 39 Weeks Gestation, v2015A1; Supplemental Table 5.

  • b Specific to year of birth.

  • c Adapted from the American Congress of Obstetricians and Gynecologists District XII (Florida) map (Supplemental Table 6).