Exploring unwarranted clinical variation: The attitudes of midwives and obstetric medical staff regarding induction of labour and planned caesarean section.

Women and Birth : Journal of the Australian College of Midwives
Coates DominiekHenry Amanda

Abstract

Unexplained clinical variation is a major issue in planned birth i.e. induction of labour and planned caesarean section. To map attitudes and knowledge of maternity care professionals regarding indications for planned birth, and assess inter-professional (midwifery versus medical) and intra-professional variation. A custom-created survey of medical and midwifery staff at eight Sydney hospitals. Staff were asked to rate their level of agreement with 45 "evidence-based" statements regarding caesareans and inductions on a five-point Likert scale. Responses were grouped by profession, and comparisons made of inter- and intra-professional responses. Total 275 respondents, 78% midwifery and 21% medical. Considerable inter- and intra-professional variation was noted, with midwives generally less likely to consider any of the planned birth indications "valid" compared to medical staff. Indications for induction with most variation in midwifery responses included maternal characteristics (age≥40, obesity, ethnicity) and fetal macrosomia; and for medical personnel in-vitro fertilisation, maternal request, and routine induction at 39 weeks gestation. Indications for caesarean with most variation in midwifery responses included previous lo...Continue Reading

References

Jan 1, 1983·ANS. Advances in Nursing Science·S R Gortner
Feb 2, 2006·Journal of Advanced Nursing·Kathryn Weaver, Joanne K Olson
Jan 15, 2009·Journal of Public Health·T Humphrey, J S Tucker
Nov 28, 2009·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Michael C KleinAoife Chamberlaine
Feb 5, 2010·Journal of Midwifery & Women's Health·Joan P Skinner, Maralyn Foureur
Aug 20, 2010·Midwifery·Helen MacKenzie Bryers, Edwin van Teijlingen
Mar 24, 2011·Implementation Science : IS·Anna R GagliardiJeremy M Grimshaw
May 24, 2011·Birth·Michael C KleinUNKNOWN Maternity Care Research Group
Nov 7, 2012·BMC Pregnancy and Childbirth·Jennifer E LutomskiMona T Lydon-Rochelle
Sep 3, 2013·The Medical Journal of Australia·Yuen Yi Cathy LeeJane B Ford
May 23, 2014·Journal of Midwifery & Women's Health·Rose M ScaffidiRuth Wittmann-Price
Aug 15, 2014·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Kate GardnerTrent Miller
Jan 22, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·T A NippitaC L Roberts
Sep 13, 2017·Reproductive Health·Kathrin H StollUNKNOWN International Childbirth Attitudes- Prior to Pregnancy (ICAPP) Study Team
Sep 25, 2017·BMC Pregnancy and Childbirth·Tanya A NippitaChristine L Roberts
Dec 3, 2017·Journal of Gynecology Obstetrics and Human Reproduction·P Blanc-PetitjeanC Le Ray
Aug 9, 2018·The New England Journal of Medicine·William A GrobmanUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network
Aug 28, 2018·Perspectives in Biology and Medicine·Holly M Dunsworth
Sep 4, 2018·Women and Birth : Journal of the Australian College of Midwives·Miranda Davies-TuckCaroline S E Homer
Oct 17, 2018·Lancet·Ties BoermaMarleen Temmerman
Sep 3, 2019·Paediatric and Perinatal Epidemiology·Stephanie K Y ChoiGeorgina M Chambers
Jan 30, 2020·PloS One·Dominiek CoatesCaroline Homer

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