A survey of obstetricians' attitudes to induction of labour at 39 weeks gestation with the intention of reducing caesarean section rates
| Autor: | Bradley de Vries, Boris Waldman, Hala Phipps, Jon Hyett, Georgina Davis |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.medical_treatment Context (language use) Intention 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Pregnancy medicine Humans Caesarean section 030212 general & internal medicine Labor Induced Response rate (survey) 030219 obstetrics & reproductive medicine business.industry Cesarean Section Australia Obstetrics and Gynecology Continuing education General Medicine medicine.disease eye diseases Increased risk Cross-Sectional Studies Attitude Family medicine Gestation Female business New Zealand |
| Zdroj: | The AustralianNew Zealand journal of obstetricsgynaecologyReferences. 61(1) |
| ISSN: | 1479-828X |
| Popis: | Background Induction of labour (IOL) and caesarean section (CS) rates continue to increase in Australia, New Zealand and globally. There is evidence that CS rates are decreased in the context of medically indicated and elective IOL; therefore, the emerging concept of using IOL as means of preventing CS warrants investigation. Aims To assess obstetricians' opinions of elective IOL at 39 weeks gestation, its feasibility, generalisability and utility as a means of preventing CS in Australia and New Zealand. Materials and methods A de-identified cross-sectional survey was distributed electronically to all Fellows and trainees of The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). The survey was voluntary and distributed with the approval of the RANZCOG Continuing Education Committee. The survey addressed opinions relating to rates of and indications for IOL, the perceived validity of those indications and explored the acceptability of using a screening tool to predict women at increased risk of intra-partum CS and tailoring obstetric management to include the option of IOL at 39 weeks gestation. Results The overall response rate was 34% (492/1423) (including trainees) and the response rate was 53% (394/750) for currently practising obstetricians. The majority (90%) of responders agreed on medical and clinical indications for IOL. There was no consensus on the validity of IOL if a woman were at apparent high risk of intra-partum CS; however, 81% (360/443) of clinicians would be interested in a tool that could predict those women at risk. Conclusions There is heterogeneity of obstetrician's beliefs on using IOL at 39 weeks as a mechanism to reduce the CS rate. |
| Databáze: | OpenAIRE |
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