Evidence-informed obstetric practice during normal birth in China: trends and influences in four hospitals

BMC Health Services Research
Xu QianPaul Garner

Abstract

A variety of international organizations, professional groups and individuals are promoting evidence-informed obstetric care in China. We measured change in obstetric practice during vaginal delivery that could be attributed to the diffusion of evidence-based messages, and explored influences on practice change. Sample surveys of women at postnatal discharge in three government hospitals in Shanghai and one in neighbouring Jiangsu province carried out in 1999, repeated in 2003, and compared. Main outcome measures were changes in obstetric practice and influences on provider behaviour. "Routine practice" was defined as more than 65% of vaginal births. Semi-structured interviews with doctors explored influences on practice. In 1999, episiotomy was routine at all four hospitals; pubic shaving, rectal examination (to monitor labour) and electronic fetal heart monitoring were routine at three hospitals; and enema on admission was common at one hospital. In 2003, episiotomy rates remained high at all hospitals, and actually significantly increased at one; pubic shaving was less common at one hospital; one hospital stopped rectal examination for monitoring labour, and the one hospital where enemas were common stopped this practice. Mo...Continue Reading

References

Jul 1, 1992·MCN. the American Journal of Maternal Child Nursing·M Kyenkya-Isabirye
May 1, 1991·JAMA : the Journal of the American Medical Association·J LomasJ Singer
Aug 16, 1997·BMJ : British Medical Journal·R Grol
May 16, 1998·BMJ : British Medical Journal·A Maduma-ButsheP Garner
May 20, 1998·American Journal of Public Health·W W CaiJ R Harris
Nov 13, 1998·BMJ : British Medical Journal·J M Belizán, G Carroli
May 5, 2000·The Cochrane Database of Systematic Reviews·G Carroli, J Belizan
May 5, 2000·The Cochrane Database of Systematic Reviews·M A Thomson O'BrienE L Harvey
Nov 23, 2000·Lancet·M Wagner
May 2, 2001·The Cochrane Database of Systematic Reviews·V Basevi, T Lavender
Sep 13, 2001·Birth·G M LeungL M Ho
Sep 15, 2001·BMJ : British Medical Journal·P E Plsek, T Greenhalgh
Apr 20, 2002·BMJ : British Medical Journal·Fernando AlthabeEduardo Bergel
Jul 11, 2002·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·B WilsonM Robinson
Aug 3, 2002·Birth·Lola Jean Kozak, Julie Dawson Weeks
Mar 7, 2003·The New England Journal of Medicine·Howard Minkoff, Frank A Chervenak
Jun 6, 2003·The New England Journal of Medicine·Roger E Sheldon, Marilyn B Escobedo
Aug 15, 2003·The Cochrane Database of Systematic Reviews·E D HodnettC Sakala
Sep 23, 2003·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·L Penna, S Arulkumaran
Feb 20, 2004·The Cochrane Database of Systematic Reviews·J K Gupta, G J Hofmeyr
Aug 27, 2004·The Tohoku Journal of Experimental Medicine·Yan-Hong GuHiroshi Ushijima
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·W Savage
Dec 15, 2004·The Milbank Quarterly·Trisha GreenhalghOlivia Kyriakidou
Jul 21, 2006·The Cochrane Database of Systematic Reviews·T LavenderG M L Gyte
Oct 19, 2007·The Cochrane Database of Systematic Reviews·L ReveizL G Cuervo
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Annemarie LawrenceCathy Styles
Apr 24, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·C KingdonT Lavender
Sep 2, 2009·Child: Care, Health and Development·J BarnesK MacPherson

❮ Previous
Next ❯

Citations

Jun 16, 2011·Bulletin of the World Health Organization·Xing Lin FengCarine Ronsmans
Jan 19, 2012·Journal of Midwifery & Women's Health·Dilys WalkerUNKNOWN Evaluating Alternative Models of Obstetric Care in Mexico Research Team
Sep 15, 2011·Worldviews on Evidence-based Nursing·Erna E Snelgrove-Clarke, Janet Rush
Jun 24, 2010·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Yu Gao, Lesley Barclay
Apr 9, 2017·Women and Birth : Journal of the Australian College of Midwives·Guier ChenZhifen Zhang
Sep 4, 2009·Archives of Gynecology and Obstetrics·Rinku Sengupta DharAbhishek Bhartia
Jul 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Maartje H J SwennenCor J Kalkman
Oct 26, 2018·BMC Pregnancy and Childbirth·Kıymet Yeşilçiçek ÇalikCanan Yavuz

❮ Previous
Next ❯

Software Mentioned

SPSS
Epi Info

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.