A statewide initiative to reduce inappropriate scheduled births at 36(0/7)-38(6/7) weeks' gestation.
other · Level IV
Where this comes from
- Record sourced from PubMed, PMID 20207241.
- Also identified by DOI 10.1016/j.ajog.2010.01.044.
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Abstract
We sought to reduce scheduled births between 36(0/7)-38(6/7) weeks that lack appropriate medical indication. Twenty Ohio maternity hospitals collected baseline data for 60 days and then selected locally appropriate Institute for Healthcare Improvement Breakthrough Series interventions to reduce the incidence of scheduled births. Deidentified birth data were analyzed centrally. Rates of scheduled births without a documented indication, birth certificate data, and implementation issues were shared regularly among sites. The rate of scheduled births between 36(0/7)-38(6/7) weeks without a documented medical indication declined from 25% to <5% (P < .05) in participating hospitals. Birth certificate data showed inductions without an indication declined from a mean of 13% to 8% (P < .0027). Dating criteria were documented in 99% of charts. A statewide quality collaborative was associated with fewer scheduled births lacking a documented medical indication.
Medical subject headings
- Cesarean Section
- Gestational Age
- Labor, Induced
- Quality Assurance, Health Care