Effect of a Locally Tailored Clinical Pathway Tool on VBAC Outcomes in a Private Hospital in India
| Autor: | Rinku Sen Gupta Dhar, Neeru Jain, Nikita Kumari |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine business.industry Term pregnancy Obstetrics Cephalic presentation medicine.medical_treatment Significant difference Trial of labour Psychological intervention Obstetrics and Gynecology Perinatal morbidity 03 medical and health sciences 0302 clinical medicine Clinical pathway Medicine Original Article Caesarean section 030212 general & internal medicine business |
| Zdroj: | J Obstet Gynaecol India |
| ISSN: | 0975-6434 0971-9202 |
| DOI: | 10.1007/s13224-021-01446-5 |
| Popis: | BACKGROUND: Customized clinical and administrative interventions in the form of a care pathway tool can improve VBAC outcomes and reduce the alarming rise in caesarean sections globally. OBJECTIVE: To determine the effect of a locally tailored clinical pathway tool on VBAC outcomes in a private hospital in India. METHODS: A pre- and post-implementation study was conducted in a private hospital in India. All women with one previous caesarean section term pregnancy and cephalic presentation were included at baseline from January 2013 to December 2015 (Phase 1) and from January 2016 to December 2018 (Phase 2) after ongoing implementation of a clinical pathway tool by all providers. Background characteristics and clinical outcomes in both phases were reviewed retrospectively from case files. RESULTS: Overall 223 (13.42%) women among 1661 total births and 244 (11.62%) women among 2099 total births were included in Phase 1 and Phase 2, respectively. Total number of women who underwent trial of labour (TOLAC) increased from 36.77% to 64.34% (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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