The Association Between Learning Climate and Adverse Obstetrical Outcomes in 16 Nontertiary Obstetrics–Gynecology Departments in the Netherlands

Purpose To investigate the association between learning climate and adverse perinatal and maternal outcomes in obstetrics–gynecology departments. Method The authors analyzed 23,629 births and 103 learning climate evaluations from 16 nontertiary obstetrics–gynecology departments in the Netherlands in 2013. Multilevel logistic regressions were used to calculate the odds of adverse perinatal and maternal outcomes, by learning climate score tertile, adjusting for maternal and department characteristics. Adverse perinatal outcomes included fetal or early neonatal mortality, five-minute Apgar score... Mehr ...