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Strengthening the evidence for maternal and child health programs

Find Established Evidence


Displaying records 1 through 10 (10 total).

Altimier L, Straub S, Narendran V. Improving outcomes by reducing elective deliveries before 39 weeks of gestation: a community hospital's journey. Newborn & Infant Nursing Reviews. 2011;11(2):50-55. doi:10.1053/j.nainr.2011.04.011

Link: https://www.sciencedirect.com/science/article/pii/S1527336911000559

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Chart Audit and Feedback, Guideline Change and Implementation, Organizational Changes, Peer Review, Quality Improvement

Intervention Results:

  • Rate of CS among electively induced women at the level II hospital decreased from 37.4% (2005) to 31.5% (2006) to 25% (2007)
    • From 2005 to 2006, one year after hospital review was launched, there was a 5.9% decrease in CS (p<0.05)2
    • From 2006 to 2007, two years after hospital review was launched and supplemental changes to elective induction policies and practices were made, there was a 6.5% decrease in CS (p<0.05)2

Blomberg M. Avoiding the first cesarean section-results of structured organizational and cultural changes. Acta Obstet Gynecol Scand. 2016;95(5):580-586. doi:10.1111/aogs.12872

Link: https://www.ncbi.nlm.nih.gov/pubmed/26870916

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): Midwifery, PROVIDER/PRACTICE, HOSPITAL, Chart Audit and Feedback, Organizational Changes, Quality Improvement, POPULATION-BASED SYSTEMS, Community — Outreach, Outreach, COMMUNITY, COMMUNITY

Intervention Results:

Rate of CS decreased from 20% (2006) to 10% (2014); p<0.05

Iglesias S., Burn R, Saunders LD. Reducing the cesarean section rate in a rural community hospital. CMAJ. 1991;145(11):1459-1464.

Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1336036/

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Guideline Change and Implementation, Organizational Changes, Quality Improvement, POPULATION-BASED SYSTEMS, NATIONAL, Policy/Guideline (National)

Intervention Results:

Rate of CS decreased from 23% (1985) to 12% (1989); p>0.05

Iriye BK, Huang WH, Condon J, et al. Implementation of a laborist program and evaluation of the effect upon cesarean delivery. Am J Obstet Gynecol. 2013;209(3):251.e251-256. doi:10.1016/j.ajog.2013.06.040

Link: https://www.ncbi.nlm.nih.gov/pubmed/23904102

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Organizational Changes

Intervention Results:

Rate of CS differed significantly between the three groups: no laborist care (39.2%), community physician laborist care (38.7%), and fulltime laborists (33.2%); p<0.05

Le Ray C, Carayol M, Breart G, Goffinet F. Elective induction of labor: failure to follow guidelines and risk of cesarean delivery. Acta Obstet Gynecol Scand. 2007;86(6):657-665. doi:10.1080/00016340701245427

Link: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1080/00016340701245427

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Elective Induction Policy, Guideline Change and Implementation, Quality Improvement, POPULATION-BASED SYSTEMS, NATIONAL, Policy/Guideline (National)

Intervention Results:

Rate of CS identical in elective induction group vs. spontaneous induction group (4.1% vs. 4.1%)

Mousa HA, Mahmood TA. Do practice guidelines guide practice? A prospective audit of induction of labor three years experience. Acta Obstet Gynecol Scand. 2000;79(12):1086-1092.

Link: https://www.ncbi.nlm.nih.gov/pubmed/11130093

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Chart Audit and Feedback, Elective Induction Policy, Guideline Change and Implementation

Intervention Results:

Rate of CS among induced women decreased from 18% (1995) to 16% (1996) to 16% (1997); (p>0.05)

Robson MS, Scudamore IW, Walsh SM. Using the medical audit cycle to reduce cesarean section rates. Am J Obstet Gynecol. 1996;174(1 Pt 1):199-205.

Link: https://www.ncbi.nlm.nih.gov/pubmed/8572006

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Chart Audit and Feedback, Guideline Change and Implementation, Organizational Changes, Quality Improvement

Intervention Results:

Rate of CS decreased between pre-medical audit cycle (13.2%; 1984-1989) and post-medical audit cycle (9.6%; September 1989-August 1992); p<0.05

Wilson-Leedy JG, DiSilvestro AJ, Repke JT, Pauli JM. Reduction in the cesarean delivery rate after obstetric care consensus guideline implementation. Obstet Gynecol. 2016;128(1):145-152. doi:10.1097/aog.0000000000001488

Link: https://www.ncbi.nlm.nih.gov/pubmed/27275806

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): Guideline Change and Implementation, HOSPITAL, POPULATION-BASED SYSTEMS, NATIONAL, Policy/Guideline (National)

Intervention Results:

Rate of CS among induced women decreased before and after guideline implementation (26.9% vs. 18.8%; p<0.05)

Shoemaker, E. S., Bourgeault, I. L., Cameron, C., Graham, I. D., & Hutton, E. K. (2017). Results of implementation of a hospital‐based strategy to reduce cesarean delivery among low‐risk women in Canada. International Journal of Gynecology & Obstetrics, 139(2), 239-244.

Link: https://doi.org/10.1002/ijgo.12263

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Elective Induction Policy, Guideline Change and Implementation, Policy/Guideline (Hospital)

Intervention Results:

At the intervention hospital, 30.3% (964/3181) of women underwent CD in 2009–2010, compared with 26.4% (803/3045) in 2012–2013 (difference −3.9%, P<0.001). By contrast, no significant difference was recorded in control hospitals (28.1% [23 694/84 361] vs 28.2% [23 683/83 895]; difference 0.1%, P=0.5157).

Haydar, A., Vial, Y., Baud, D., & Desseauve, D. (2017). Evolution of cesarean section rates according to Robson classification in a swiss maternity hospital. Revue Médicale Suisse, 13(580):1846-1851.

Link: https://www.ncbi.nlm.nih.gov/pubmed/29071835

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): HOSPITAL, Peer-Review of Provider Decisions, Elective Induction Policy, Guideline Change and Implementation

Intervention Results:

The overall CS rate was 29 %, mainly related to group 5 (multiparous with previous CS) and group 2 (nulliparous women induced or who had CS before labor). The study also shows that induction of labor on maternal request in nulliparous at term (group 2a) increased significantly the risk of CS compared to induction of labor for medical reason (p<0.001).
   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.