Do perinatal guidelines have an impact on obstetric practices?

Autor: Vendittelli, F., Rivière, O., Crenn-Hébert, C., Giraud-Roufast, A., Renseigné, Non
Přispěvatelé: Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement (PEPRADE), CHU Clermont-Ferrand-Université d'Auvergne - Clermont-Ferrand I (UdA)
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Pediatrics
Epidemiology
Breastfeeding
Infant
Newborn
Diseases
Cohort Studies
0302 clinical medicine
MESH: Pregnancy
MESH: Practice Guidelines as Topic
Pregnancy
Medicine
Smoking and pregnancy
030212 general & internal medicine
MESH: Obstetric Labor
Premature
Early discharge
MESH: Cohort Studies
030219 obstetrics & reproductive medicine
Obstetrics
Incidence (epidemiology)
MESH: Infant
Newborn
Outcome measures
Professional Practice
MESH: Cesarean Section
Perinatology
3. Good health
Perinatal Care
MESH: Pregnancy Complications
Practice Guidelines as Topic
MESH: Perinatal Care
MESH: Hospitals
Maternity
Female
Level iii
France
Historical Cohort
MESH: Obstetrics
medicine.medical_specialty
MESH: Perinatology
MESH: Professional Practice
MESH: Infant
Low Birth Weight
MESH: Infant
Newborn
Diseases
Hospitals
Maternity
03 medical and health sciences
Obstetric Labor
Premature
Humans
MESH: Humans
business.industry
Cesarean Section
Public Health
Environmental and Occupational Health
Infant
Newborn
[SDV.BDLR]Life Sciences [q-bio]/Reproductive Biology
Guideline
Infant
Low Birth Weight
Delivery
Obstetric
Pregnancy Complications
MESH: France
MESH: Delivery
Obstetric
business
MESH: Female
Zdroj: Epidemiology and Public Health / Revue d'Epidémiologie et de Santé Publique
Epidemiology and Public Health / Revue d'Epidémiologie et de Santé Publique, Elsevier Masson, 2012, 60 (5), pp.355-62. ⟨10.1016/j.respe.2012.03.002⟩
Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique
Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique, Elsevier Masson, 2012, 60 (5), pp.355-62. ⟨10.1016/j.respe.2012.03.002⟩
ISSN: 0398-7620
1773-0627
DOI: 10.1016/j.respe.2012.03.002⟩
Popis: International audience; BACKGROUND: The publication of several sets of French guidelines was unfortunately not accompanied by planned assessment of their impact on practices. The goal of this study was to assess the impact of eight French perinatal guidelines on actual obstetric practices. METHODS: Historical cohort setting in France: the Audipog database of 299,412 pregnancies from 1994 to 2006, from which we extracted a sub-sample by randomLy selecting from each participating maternity ward all births occurring during a single month of each year (n=107,450 pregnancies). The main outcome measure was the incidence of pertinent perinatal indicators related to these guidelines. These included site of delivery for low-birth-weight infants (1998), caesarean delivery (2000), preterm delivery (2002), breastfeeding (2002), smoking and pregnancy (2004), immediate postpartum hemorrhages (2004), early discharge after delivery (2004) and episiotomies (2005). Standardised rates, before and after the year of each guideline, were compared using a Chi(2) test. RESULTS: The percentage of children weighing less than 1500 g at birth born in Level III hospitals increased through 1999 but dropped subsequently, without ever returning to the 1994 level (P0.05). Exclusive breastfeeding at discharge from the maternity ward has increased slowly (P
Databáze: OpenAIRE
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