Induction of labour during the COVID-19 pandemic: a national survey of impact on practice in the UK
| العنوان: | Induction of labour during the COVID-19 pandemic: a national survey of impact on practice in the UK |
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| المؤلفون: | Harkness, M., Yuill, C., Cheyne, H., Stock, S. J., McCourt, C., CHOICE Study Consortia |
| المصدر: | 2021, ' Induction of labour during the COVID-19 pandemic : a national survey of impact on practice in the UK ', BMC pregnancy and childbirth, vol. 21, no. 1, pp. 310 . https://doi.org/10.1186/s12884-021-03781-x BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-8 (2021) |
| بيانات النشر: | Cold Spring Harbor Laboratory, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Psychological intervention, HN, Computer-assisted web interviewing, 0302 clinical medicine, RA0421, Pregnancy, Surveys and Questionnaires, Induction of labour, Pandemic, Ambulatory Care, Medicine, 030212 general & internal medicine, skin and connective tissue diseases, Policy Making, COVID-19/epidemiology, Response rate (survey), 030219 obstetrics & reproductive medicine, Attendance, Obstetrics and Gynecology, Critical Pathways/organization & administration, Organizational Innovation, Maternal Health Services/trends, Critical Pathways, Female, Research Article, Adult, medicine.medical_specialty, Attitude of Health Personnel, Infection Control/methods, Clinical Decision-Making, Reproductive medicine, Context (language use), 03 medical and health sciences, Choice, Ambulatory Care/methods, Humans, Maternal Health Services, Labor, Induced, QR355, Infection Control, Descriptive statistics, business.industry, COVID-19, Gynecology and obstetrics, United Kingdom, Labor, Induced/methods, Content analysis, Cervical ripening, Family medicine, RG1-991, sense organs, RG, business, Cervical Ripening |
| الوصف: | BackgroundInduction of labour (IOL) is one of the most commonly performed interventions in maternity care, with outpatient cervical ripening increasingly offered as an option for women undergoing IOL. The COVID-19 pandemic has changed the context of practice and the option of returning home for cervical ripening may now assume greater significance. This work aimed to examine whether and how the COVID-19 pandemic has changed practice around IOL in the UK.MethodWe used an online questionnaire to survey senior obstetricians and midwives at all 156 UK NHS Trusts and Boards that currently offer maternity services. Responses were analysed to produce descriptive statistics, with free text responses analysed using a conventional content analysis approach.FindingsResponses were received from 92 of 156 UK Trusts and Boards, a 59% response rate. Many Trusts and Boards reported no change to their IOL practice, however 23% reported change in methods used for cervical ripening; 28% a change in criteria for home cervical ripening; 28% stated that more women were returning home during cervical ripening; and 24% noted changes to women’s response to recommendations for IOL. Much of the change was reported as happening in response to attempts to minimise hospital attendance and restrictions on birth partners accompanying women.ConclusionsThe pandemic has changed practice around induction of labour, although this varied significantly between NHS Trusts and Boards. There is a lack of formal evidence to support decision-making around outpatient cervical ripening: the basis on which changes were implemented and what evidence was used to inform decisions is not clear. |
| وصف الملف: | application/pdf |
| تدمد: | 1471-2393 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::12b58b3a7329535fb37885b6dba4da79 https://doi.org/10.1101/2021.01.27.21250521 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....12b58b3a7329535fb37885b6dba4da79 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712393 |
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