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Strengthening the evidence for maternal and child health programs

Find Established Evidence


Displaying records 1 through 5 (5 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

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
   

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.