Primary cesarean delivery rate: Potential impact of a checklist

Journal of Gynecology Obstetrics and Human Reproduction
M ToumiF Bretelle

Abstract

Cesarean section is the most common surgical procedure performed in developed countries. Its incidence is increasing to a worrisome extent. The 2003 French National Perinatal Survey showed that the inflation in the overall cesarean rate was mainly due to an increase in the first cesarean delivery rate. To evaluate a new tool: a checklist that intent to decrease the first cesarean delivery rate. Retrospective, observational, multi-center study. A new tool, a "First cesarean delivery" checklist was built according American and French guidelines. Women with full-term of pregnancy, nulliparous or multiparous with a first caesarean delivery including arrest of labor, breech presentation or suspected fetal macrosomia were included. The checklist was applied. Potentially preventable cesareans were analyzed. Among 571 first cesarean section, 178 were eligible to check list application. 147 charts were analyzed in the study. 11.9% of first cesarean deliveries performed were potentially avoidable after applying the checklist. This represented 6.6% of all cesareans. The checklist based on the recall of good practices could be an interesting tool to decrease the first cesarean rate.

Citations

Aug 14, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jozef ZahumenskyMarian Krizko
Jul 21, 2021·American Journal of Perinatology·Colleen M SinnottSarah E Little

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