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] |
Copyright of PLoS ONE is the property of Public Library of Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
قاعدة البيانات: | Complementary Index |
كن أول من يترك تعليقا!