PMID: 9534500Apr 16, 1998Paper

A national survey of use of obstetric procedures and technologies in Canadian hospitals: routine or based on existing evidence?

Birth
J KaczorowskiG Chance

Abstract

The objective of this national survey was to describe the routine use of procedures and technologies in Canadian hospitals providing maternity care, and to determine the extent to which current use was consistent with the existing evidence and recommended guidelines for maternal and newborn care. Representatives of 572 hospitals providing maternity care across Canada were sent questionnaires in the spring and summer of 1993; 523 (91.4%) responded. The primary outcome measures consisted of the self-reported use of obstetric procedures and technologies (perineal shaves, enemas/suppositories, intravenous infusions, initial and continuous electronic fetal heart monitoring, episiotomy rates). Hospitals were grouped according to location, size (number of live births per year), and university affiliation status. The hospitals in the Prairie provinces, in Quebec, and in the Atlantic provinces were significantly less likely than those in Ontario to restrict their use of perineal shaves and enemas to women on admission in labor. Small hospitals were significantly more likely than large hospitals (> 1000 live births) to restrict their use of intravenous infusions, and initial and continuous electronic fetal monitoring. The university-affi...Continue Reading

Citations

May 1, 1999·Australian College of Midwives Incorporated Journal·J White
Oct 16, 2015·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·L Sagi-Dain, S Sagi
Nov 28, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·A Conde-AgudeloA M Gülmezoglu
Nov 4, 2005·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Carol Hindley, Ann M Thomson
Nov 27, 2008·Journal of Clinical Nursing·Ann-Kristin Sandin-BojöMarie-Louise Hall-Lord
Jul 6, 2010·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jacqueline J HoUNKNOWN SEA-ORCHID Study Group
Jan 27, 2017·The Cochrane Database of Systematic Reviews·Declan DevaneValerie Smith
Jul 30, 2003·Journal of Nursing Measurement·Martha Rider Sleutel
Sep 23, 2003·MCN. the American Journal of Maternal Child Nursing·Sylvia H Wood
Nov 15, 2018·Journal of Evaluation in Clinical Practice·Andrada PascDragoș Nemescu

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