Reduction of elective inductions in a large community hospital

Objective Our goal was to lower unplanned primary cesarean deliveries by reducing elective inductions. Study Design To implement and sustain an induction management program, a committee of care providers reviewed induction rates. “Elective” and other categories were defined. An induction consent for...

Full description

Saved in:
Bibliographic Details
Published in:American journal of obstetrics and gynecology 2009-06, Vol.200 (6), p.674.e1-674.e7
Main Authors: Reisner, Dale P., MD, Wallin, Terri K., RN, MHA, Zingheim, Rosalee W., RN, MN, Luthy, David A., MD
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cesarean Section - statistics & numerical data
elective induction
Female
Gynecology. Andrology. Obstetrics
Hospitals, Community
Humans
induction rates
induction reduction
Labor, Induced - statistics & numerical data
Medical sciences
Obstetrics and Gynecology
Pregnancy
Prospective Studies
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective Our goal was to lower unplanned primary cesarean deliveries by reducing elective inductions. Study Design To implement and sustain an induction management program, a committee of care providers reviewed induction rates. “Elective” and other categories were defined. An induction consent form was drafted. Consent compliance, induction rates, hours in labor and delivery and mode of delivery were evaluated. Outcomes were compared with historical data from 2 years earlier. Results A total of 10,166 nulliparas and 9869 multiparas attempted vaginal deliveries. Elective inductions decreased significantly, from 4.3% to 0.8% in nulliparas and from 13% to 9.5% in multiparas. A longer time to delivery was seen for both nulliparas (5.2 hours) and multiparas (4 hours) with elective inductions. Unplanned primary cesarean delivery rates are significantly lower in spontaneously laboring women, compared with those induced. Conclusion A program aimed at reducing elective inductions was successfully implemented and sustained.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2009.02.021