Teaching and performing audits on caesarean delivery reduce the caesarean delivery rate

PloS One
Emmanuelle LesieurF Bretelle

Abstract

To assess the factors associated with lower rate of caesarean deliveries in the South of France, based on the characteristics and organisation of the region's 40 maternity facilities and the characteristics of the practitioners in these facilities. A retrospective study from 1 January 2012 to 31 December 2015. Data were collected by the Mediterranean network and a declarative survey was completed by each maternity facility in the region to study factor which could be associated with lower caesarean rate by univariate and multivariate analysis. 250 564 women gave birth during this period, of which 55 097 by caesarean section. The mean caesarean delivery rate over the four years was 22.0%. The rate was significantly higher in private maternity facilities [23.9% (21.9%- 25.8%), p<0.05] and type III (maximum care level) maternity facilities [24.2% (21.3%- 27.1%), p<0.05]. After a stepwise regression, the factors associated with a decrease in the caesarean delivery rate were audits concerning caesarean delivery (19.83%, β = - 2.48, p = 0.03 over the four years) and the provision of training to trainee doctors at the maternity facility (20.28%, β = - 1.08, p = 0.04 over the four years). Performing audits in relation to caesarean deli...Continue Reading

References

May 24, 2007·Acta Obstetricia Et Gynecologica Scandinavica·C Le RayUNKNOWN PREMODA Study Group
Nov 6, 2007·BMJ : British Medical Journal·José VillarUNKNOWN World Health Organization 2005 Global Survey on Maternal and Perinatal Health Research Group
Feb 2, 2011·PloS One·Maria Regina TorloniMario Merialdi
May 23, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·B BlondelUNKNOWN National Coordination Group of the National Perinatal Surveys
Nov 6, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·C Deneux-Tharaux
Nov 22, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·C Le RayF Goffinet
Dec 30, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·S L Sholapurkar
Apr 22, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Stefania TriunfoGiovanni Scambia
Apr 30, 2015·The New England Journal of Medicine·Nils ChailletUNKNOWN QUARISMA Trial Research Group
Sep 4, 2015·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Ghayath JanoudiMark Walker
Oct 5, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Michael RobsonFionnuala Byrne
Jan 27, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·Eric Jauniaux
Feb 10, 2016·BMC Pregnancy and Childbirth·Agustina MazzoniJosé M Belizán
Feb 13, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Marie Blomberg
Apr 30, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·S BartoloC Deneux-Tharaux

❮ Previous
Next ❯

Software Mentioned

SPSS

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.

Related Papers

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Cyril HuissoudRené-Charles Rudigoz
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
B E ChalmersD Meyer
Journal de gynécologie, obstétrique et biologie de la reproduction
V WeymullerF Perrotin
© 2022 Meta ULC. All rights reserved