دورية أكاديمية
Induction of labour care in the UK: A cross-sectional survey of maternity units.
| العنوان: | Induction of labour care in the UK: A cross-sectional survey of maternity units. |
|---|---|
| المؤلفون: | Taylor, Beck, Cross-Sudworth, Fiona, Rimmer, Michael, Quinn, Laura, Morris, R. Katie, Johnston, Tracey, Morad, Sharon, Davidson, Louisa, Kenyon, Sara |
| المصدر: | PLoS ONE; 2/28/2024, Vol. 19 Issue 2, p1-13, 13p |
| مصطلحات موضوعية: | INDUCED labor (Obstetrics), HOSPITAL maternity services, CONVENIENCE sampling (Statistics), HOSPITAL admission & discharge, MEDICAL quality control |
| مصطلحات جغرافية: | UNITED Kingdom |
| الشركة/الكيان: | GREAT Britain. National Health Service |
| مستخلص: | Objectives: To explore local induction of labour pathways in the UK National Health Service to provide insight into current practice. Design: National survey. Setting: Hospital maternity services in all four nations of the UK. Sample: Convenience sample of 71 UK maternity units. Methods: An online cross-sectional survey was disseminated and completed via a national network of obstetrics and gynaecology specialist trainees (October 2021-March 2022). Results were analysed descriptively, with associations explored using Fisher's Exact and ANOVA. Main outcome measures: Induction rates, criteria, processes, delays, incidents, safety concerns. Results: 54/71 units responded (76%, 35% of UK units). Induction rate range 19.2%-53.4%, median 36.3%. 72% (39/54) had agreed induction criteria: these varied widely and were not all in national guidance. Multidisciplinary booking decision-making was not reported by 38/54 (70%). Delays reported 'often/always' in hospital admission for induction (19%, 10/54) and Delivery Suite transfer once induction in progress (63%, 34/54). Staffing was frequently reported cause of delay (76%, 41/54 'often/always'). Delays triggered incident reports in 36/54 (67%) and resulted in harm in 3/54 (6%). Induction was an area of concern (44%, 24/54); 61% (33/54) reported induction-focused quality improvement work. Conclusions: There is substantial variation in induction rates, processes and policies across UK maternity services. Delays appear to be common and are a cause of safety concerns. With induction rates likely to increase, improved guidance and pathways are critically needed to improve safety and experience of care. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: | Complementary Index |
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