The impact of delivery suite guidelines on intrapartum care in 'standard primigravida'

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Zarko AlfirevicMary Jane Platt

Abstract

To compare intrapartum interventions and outcomes in low-risk primiparous women and identify factors which may contribute to the variations between different maternity units. Prospective observational study. Ten maternity units in England. Participating units provided data on 11 clinical indicators for all 'standard primigravidae' delivered between January and December 2000 and provided information on written delivery suite policies operational during July 2000. There was a significant inter-unit variation in the use of intrapartum foetal blood sampling, use of syntocinon for augmentation of labour, mode of delivery, type of perineal damage, postpartum haemorrhage, low Apgar score and admission to SCBU. Units with guidelines for intrapartum foetal heart monitoring had higher rate of normal vaginal deliveries (odds ratio (OR): 1.34; 99% confidence interval (CI): 1.05-1.70) and lower rate of Caesarean section for foetal distress (OR: 0.57; 99% CI: 0.34-0.96). Units with partogram guidelines also had lower rates of Caesarean section for foetal distress (OR: 0.49; 99% CI: 0.30-0.81). Units with guidelines on the management of episiotomy had higher episiotomy rates (OR: 1.54; 99% CI: 1.15-2.06) while units with guidelines on the inv...Continue Reading

References

Nov 1, 1991·British Journal of Obstetrics and Gynaecology·C M PatersonC S Wright
Mar 1, 1996·British Journal of Obstetrics and Gynaecology·R ClearyA Welch
Dec 1, 1995·British Journal of Obstetrics and Gynaecology·C Middle, A MacFarlane

❮ Previous
Next ❯

Citations

Sep 30, 2008·Best Practice & Research. Clinical Obstetrics & Gynaecology·Guillermo CarroliA Metin Gulmezoglu
May 1, 2007·Women and Birth : Journal of the Australian College of Midwives·Sally K TracyMark Tracy
Jan 22, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·T A NippitaC L Roberts
Nov 3, 2004·Clinics in Perinatology·Ursula F Harkness, Giancarlo Mari
Sep 12, 2012·Gynécologie, obstétrique & fertilité·A S AzuarD Lémery
Nov 2, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·X XuJ L Illuzzi
Jun 2, 2006·Obstetrics and Gynecology·C Le RayUNKNOWN PREMODA Study Group
Jun 15, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·C WinterC Troeger
Sep 1, 2005·Birth·José M BelizánBeverley Chalmers
Jan 21, 2010·Revista da Escola de Enfermagem da U S P·Ivanilde Marques da Silva RochaAdriana Souza Caroci da Costa
Jul 27, 2007·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·N MikkiN M E Abu-Rmeileh
Jun 6, 2018·BMC Pregnancy and Childbirth·Bothwell Takaingofa GuzhaStephen Peter Munjanja

❮ Previous
Next ❯

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.