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Strengthening the evidence for maternal and child health programs

Find Established Evidence


Displaying records 1 through 6 (6 total).

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

Gottvall K, Waldenström U, Tingstig C, Grunewald C. In-hospital birth center with the same medical guidelines as standard care: a comparative study of obstetric interventions and outcomes. Birth. 2011;38(2):120-128.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21599734

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Continuity of Care (Caseload), Labor Support, State — Place of Birth, POPULATION-BASED SYSTEMS, STATE, Place of Birth

Intervention Results:

Rate of CS lower in MBCC group vs. standard care group (18.9% vs. 25.6%; OR=0.61, 95% CI: 0.52–0.72); adjusted for maternal age, country of birth, education, income, smoking before pregnancy, elective cesarean section, and gestational age

Harris SJ, Janssen PA, Saxell L, Carty EA, MacRae GS, Petersen KL. Effect of a collaborative interdisciplinary maternity care program on perinatal outcomes. CMAJ. 2012;184(17):1885- 1892. doi:10.1503/cmaj.111753

Link: https://www.ncbi.nlm.nih.gov/pubmed/22966055

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Labor Support, POPULATION-BASED SYSTEMS, State — Place of Birth, STATE, Place of Birth

Intervention Results:

Rate of CS lower in SCBP group vs. standard care group (24.1% vs. 32.4%; RR=0.81, 95% CI: 0.72–0.91)

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

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%)

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)
   

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.