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Strengthening the evidence for maternal and child health programs

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Displaying records 1 through 20 (34 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

Bergstrom M, Kieler H, Waldenstrom U. Psychoprophylaxis during labor: associations with labor-related outcomes and experience of childbirth. Acta Obstet Gynecol Scand. 2010;89(6):794-800.

Link: https://www.ncbi.nlm.nih.gov/pubmed/20225989

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): Psychoprophylaxis, PATIENT/CONSUMER

Intervention Results:

Rate of CS lower in psychoprophylaxis use group vs. control group (11.7% vs. 17.3%; p<0.05)

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

Cammu H, Eeckhout E. A randomised controlled trial of early versus delayed use of amniotomy and oxytocin infusion in nulliparous labour. Br J Obstet Gynaecol. 1996;103(4):313- 318.

Link: https://www.ncbi.nlm.nih.gov/pubmed/8605126

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): Active Management of Labor, PROVIDER/PRACTICE

Intervention Results:

Rate of CS higher in AMOL group vs. control group (3.9% vs. 2.6%; p>0.05)

Campbell DA, Lake MF, Falk M, Backstrand JR. A randomized control trial of continuous support in labor by a lay doula. J Obstet Gynecol Neonatal Nurs. 2006;35(4):456-464. doi:10.1111/j.1552-6909.2006.00067.x

Link: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.562.952&rep=rep1&type=pdf

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): Labor Support, PROVIDER/PRACTICE

Intervention Results:

Rate of CS higher in doula vs. control group (18.9% vs. 17.9%, p>0.05)

Davey MA, McLachlan HL, Forster D, Flood M. Influence of timing of admission in labour and management of labour on method of birth: results from a randomised controlled trial of caseload midwifery (COSMOS trial). Midwifery. 2013;29(12):1297-1302.

Link: https://www.ncbi.nlm.nih.gov/pubmed/23890679

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)

Intervention Results:

Rate of CS lower in caseload midwifery group vs. standard care group (14.6% vs. 20.2%; OR=1.49, p<0.05), though this difference was not significant after adjustment for cervical dilatation of 5cm or more upon admission, maternal age, and maternal BMI (OR=1.41, p>0.05)

Davis LG, Riedmann GL, Sapiro M, Minogue JP, Kazer, RR. Cesarean section rates in low- risk private patients managed by certified nurse-midwives and obstetricians. J Nurse Midwifery. 1994;39(2):91-97.

Link: https://www.ncbi.nlm.nih.gov/pubmed/8027851

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Midwifery

Intervention Results:

Rate of CS lower in CNM group vs. physician group (12.7% vs. 18.1%; p<0.05)

Dickinson JE, Paech MJ, McDonald SJ, Evans SF. The impact of intrapartum analgesia on labour and delivery outcomes in nulliparous women. Aust N Z J Obstet Gynaecol. 2002;42(1): 59-66.

Link: https://www.ncbi.nlm.nih.gov/pubmed/11926643

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), Epidural Analgesia, Midwifery

Intervention Results:

Rate of CS lower in CMS group vs. epidural group (14.2% vs. 17.2%; p>0.05)

Eide BI, Nilsen AB, Rasmussen S. Births in two different delivery units in the same clinic--a prospective study of healthy primiparous women. BMC Pregnancy Childbirth. 2009;9:25. doi:10.1186/1471-2393-9-25

Link: https://www.ncbi.nlm.nih.gov/pubmed/19545412

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Midwifery

Intervention Results:

Rate of emergency CS higher in CDW group vs. MLW group (7.0% vs. 6.3%; OR=1.1, 95% CI: 0.5–2.2)

Eriksen, LM, Nohr EA, Kjaergaard H. Mode of delivery after epidural analgesia in a cohort of low-risk nulliparas. Birth. 2011;38(4):317-326. doi:10.1111/j.1523-536X.2011.00486.x

Link: https://www.ncbi.nlm.nih.gov/pubmed/22112332

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Epidural Analgesia

Intervention Results:

Rate of emergency CS higher in epidural group vs. control group (24.5% vs. 4.4%; p<0.05)

Eriksson SL, Olausson PO, Olofsson C. Use of epidural analgesia and its relation to caesarean and instrumental deliveries-a population--based study of 94,217 primiparae. Eur J Obstet Gynecol Reprod Biol. 2006;128(1-2):270-275. doi:10.1016/j.ejogrb.2005.10.030

Link: https://www.ncbi.nlm.nih.gov/pubmed/16343733

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): Epidural Analgesia, PROVIDER/PRACTICE

Intervention Results:

  • Hospitals with lowest proportions of CS (9.1%) were also those with the lowest (20-29%) and highest (60-64%) frequencies of epidural
    • Hospitals with 20-29% frequency epidural block at lower risk for CS than 40-49% frequency (OR=0.84; 95% CI: 0.77-0.93)
    • Hospitals with 60-64% frequency epidural block at lower risk for CS than 40-49% frequency (OR=0.85; 95% CI: 0.77-0.93)
  • Hospitals with 30-39%, 40-49%, and 50-59%, proportion of deliveries as CS varied between 10.3 and 10.6%; not statistically significant
  • CS rates vary in relationship to frequency of epidural block, but in no consistent linear fashion. Results do no suggest a linear relationship of percentage of epidural block with CS rates in any hospital, except level I where the numbers are too small to draw any conclusions.

Fenwick J, Toohill J, Gamble J, et al. Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological wellbeing. BMC Pregnancy Childbirth. 2015;15:284. doi:10.1186/s12884-015-0721-y

Link: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0721-y

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Intensive Therapy

Intervention Results:

Rate of CS lower in psycho-education group vs. control group (35.3% vs. 47.0%; p>0.05)

Frigoletto FD, Lieberman E, Lang JM, et al. A clinical trial of active management of labor. N Engl J Med. 1995;333(12):745-750. doi:10.1056/nejm199509213331201

Link: https://www.ncbi.nlm.nih.gov/pubmed/7643880

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Childbirth Education Classes, PROVIDER/PRACTICE, Active Management of Labor, Labor Support, Midwifery

Intervention Results:

Rate of CS among protocol-eligible women lower in AMOL group vs. control group (10.9% vs. 11.5%; p>0.05) after adjustment for epidural use and adoption of final protocol (three hours for second stage of labor with epidural); (OR=0.9, 95% CI: 0.4–1.9)

Gagnon AJ, Waghorn K. One-to-one nurse labor support of nulliparous women stimulated with oxytocin. J Obstet Gynecol Neonatal Nurs. 1999;28(4):371-376.

Link: https://www.ncbi.nlm.nih.gov/pubmed/10438081

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): Labor Support, PROVIDER/PRACTICE

Intervention Results:

Rate of CS lower in nursing support group vs. control group (13.9% vs. 16.2%; RR=0.86, 95% CI: 0.54–1.36)

Gimovsky AC, Berghella V. Randomized controlled trial of prolonged second stage: extending the time limit vs usual guidelines. Am J Obstet Gynecol. 2016;214(3):361.e1-6.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26928148

NPM: 2: Low-Risk Cesarean Deliveries
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Prolonged Second Stage of Labor

Intervention Results:

Rate of CS lower in extended care group vs. usual care group (19.5% vs. 43.2%; RR=0.45, 95% CI: 0.22–0.93)

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)

Hodnett ED, Lowe NK, Hannah ME, et al. Effectiveness of nurses as providers of birth labor support in North American hospitals: a randomized controlled trial. JAMA. 2002;288(11):1373- 1381.

Link: https://www.ncbi.nlm.nih.gov/pubmed/12234231

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

Intervention Results:

Rate of CS higher in continuous labor support group vs. usual care group (19.7% vs. 19.5%; p>0.05)

Hueston WJ, Rudy M. A comparison of labor and delivery management between nurse midwives and family physicians. J Fam Pract.1993;37(5):449-454.

Link: https://www.ncbi.nlm.nih.gov/pubmed/8228856

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

Intervention Results:

Rate of CS lower in nurse midwife group vs. family physician group (4.3% vs. 7.5%; 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
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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.