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Strengthening the evidence for maternal and child health programs

Find Established Evidence

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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.


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).

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.