Healthcare Design - October 2016 - 29


4/8

CAN DESIGN
DRIVE DOWN
C-SECTION
RATES?

CESAREAN DELIVERY is the most

common surgery in the U.S., but
the figures vary widely from one
hospital to another-as low as
7 percent to as high as 70 percent
of deliveries, according to the
Health Affairs journal article
"Cesarean Delivery Rates Vary
Tenfold Among U.S. Hospitals." "The biggest risk factor
for a woman having an unplanned C-section is the
hospital where she delivers," says Dr. Neel Shah, an
associate faculty member at Ariadne Labs (Boston), a
joint center of Brigham and Women's Hospital and the
Harvard T.H. Chan School of Public Health.
During a tour of maternity units in the U.S. last year,
Shah observed how different designs and layouts
affected childbirth care. For instance, in one location,
he saw nurses racing from one end of the unit to the
other to attend to laboring women while gathering
supplies, whereas in another location, pods with
designated supply closets nearby allowed nurses to
closely monitor patients' vital signs without running
back and forth.
As part of a doctor-architect collaboration, Shah and
MASS Design Group (Boston) have teamed up for a
year-long study funded by the Robert Wood Johnson
Foundation to look at whether the design of hospital
labor and delivery units can reduce unnecessary
C-sections. The researchers will profile 12 childbirth
facilities and conduct floor plan analyses, site visits,
and staff interviews, assessing such details as room size
and layout, patient-accessible space, proximity to the
operating room, and whether the room can be flexed
for more than one purpose. 
Deb Rosenberg, an architectural designer at MASS
(and also a nurse), says the team is looking at the issue
from the perspective of the provider to understand what
elements may drive clinicians to choose a C-section
procedure rather than natural childbirth. "We're trying
to understand the physical space that they're operating
in, and how the space of the unit or the larger facility
may impact their ability to make quality decisions
about the care for an individual woman," she says. The
researchers expect to wrap up the study in November
and plan to publish their findings.- S U S A N K R E I M E R

OCTOBER 2016

29


http://skydesign.com http://skydesign.com

Table of Contents for the Digital Edition of Healthcare Design - October 2016

Healthcare Design - October 2016
Contenst
EDITORIAL
SHOW TALK
PHOTO TOUR
THE SUITE LIFE
FIRST LOOK
OH, THE PLACES YOU’LL GO
BEYOND THE ROOM
INFECTION CONTROL
PRODUCT SPOTLIGHT
THE CENTER
SPECIAL ADVERTISING SECTION
FACE TIME
Healthcare Design - October 2016 - Healthcare Design - October 2016
Healthcare Design - October 2016 - Cover2
Healthcare Design - October 2016 - 1
Healthcare Design - October 2016 - Contenst
Healthcare Design - October 2016 - 3
Healthcare Design - October 2016 - 4
Healthcare Design - October 2016 - 5
Healthcare Design - October 2016 - 6
Healthcare Design - October 2016 - 7
Healthcare Design - October 2016 - EDITORIAL
Healthcare Design - October 2016 - 9
Healthcare Design - October 2016 - SHOW TALK
Healthcare Design - October 2016 - 11
Healthcare Design - October 2016 - 12
Healthcare Design - October 2016 - 13
Healthcare Design - October 2016 - PHOTO TOUR
Healthcare Design - October 2016 - 15
Healthcare Design - October 2016 - 16
Healthcare Design - October 2016 - 17
Healthcare Design - October 2016 - 18
Healthcare Design - October 2016 - 19
Healthcare Design - October 2016 - 20
Healthcare Design - October 2016 - 21
Healthcare Design - October 2016 - 22
Healthcare Design - October 2016 - 23
Healthcare Design - October 2016 - THE SUITE LIFE
Healthcare Design - October 2016 - 25
Healthcare Design - October 2016 - 26
Healthcare Design - October 2016 - 27
Healthcare Design - October 2016 - 28
Healthcare Design - October 2016 - 29
Healthcare Design - October 2016 - FIRST LOOK
Healthcare Design - October 2016 - 31
Healthcare Design - October 2016 - 32
Healthcare Design - October 2016 - 33
Healthcare Design - October 2016 - 34
Healthcare Design - October 2016 - 35
Healthcare Design - October 2016 - OH, THE PLACES YOU’LL GO
Healthcare Design - October 2016 - 37
Healthcare Design - October 2016 - 38
Healthcare Design - October 2016 - 39
Healthcare Design - October 2016 - 40
Healthcare Design - October 2016 - 41
Healthcare Design - October 2016 - 42
Healthcare Design - October 2016 - 43
Healthcare Design - October 2016 - 44
Healthcare Design - October 2016 - 45
Healthcare Design - October 2016 - BEYOND THE ROOM
Healthcare Design - October 2016 - 47
Healthcare Design - October 2016 - 48
Healthcare Design - October 2016 - 49
Healthcare Design - October 2016 - 50
Healthcare Design - October 2016 - 51
Healthcare Design - October 2016 - 52
Healthcare Design - October 2016 - 53
Healthcare Design - October 2016 - 54
Healthcare Design - October 2016 - 55
Healthcare Design - October 2016 - 56
Healthcare Design - October 2016 - 57
Healthcare Design - October 2016 - 58
Healthcare Design - October 2016 - 59
Healthcare Design - October 2016 - INFECTION CONTROL
Healthcare Design - October 2016 - 61
Healthcare Design - October 2016 - 62
Healthcare Design - October 2016 - 63
Healthcare Design - October 2016 - 64
Healthcare Design - October 2016 - 65
Healthcare Design - October 2016 - PRODUCT SPOTLIGHT
Healthcare Design - October 2016 - 67
Healthcare Design - October 2016 - 68
Healthcare Design - October 2016 - 69
Healthcare Design - October 2016 - 70
Healthcare Design - October 2016 - 71
Healthcare Design - October 2016 - THE CENTER
Healthcare Design - October 2016 - 73
Healthcare Design - October 2016 - 74
Healthcare Design - October 2016 - SPECIAL ADVERTISING SECTION
Healthcare Design - October 2016 - 76
Healthcare Design - October 2016 - 77
Healthcare Design - October 2016 - 78
Healthcare Design - October 2016 - 79
Healthcare Design - October 2016 - FACE TIME
Healthcare Design - October 2016 - Cover3
Healthcare Design - October 2016 - Cover4
Healthcare Design - October 2016 - S1
Healthcare Design - October 2016 - S2
Healthcare Design - October 2016 - S3
Healthcare Design - October 2016 - S4
Healthcare Design - October 2016 - S5
Healthcare Design - October 2016 - S6
Healthcare Design - October 2016 - S7
Healthcare Design - October 2016 - S8
Healthcare Design - October 2016 - S9
Healthcare Design - October 2016 - S10
Healthcare Design - October 2016 - S11
Healthcare Design - October 2016 - S12
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