Effect of a Locally Tailored Clinical Pathway Tool on VBAC Outcomes in a Private Hospital in India

Background Customized clinical and administrative interventions in the form of a care pathway tool can improve VBAC outcomes and reduce the alarming rise in caesarean sections globally. Objective To determine the effect of a locally tailored clinical pathway tool on VBAC outcomes in a private hospit...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology of India 2021-06, Vol.71 (3), p.246-253
Main Authors: Kumari, Nikita, Jain, Neeru, Dhar, Rinku Sen Gupta
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
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Summary:Background Customized clinical and administrative interventions in the form of a care pathway tool can improve VBAC outcomes and reduce the alarming rise in caesarean sections globally. Objective To determine the effect of a locally tailored clinical pathway tool on VBAC outcomes in a private hospital in India. Methods A pre- and post-implementation study was conducted in a private hospital in India. All women with one previous caesarean section term pregnancy and cephalic presentation were included at baseline from January 2013 to December 2015 (Phase 1) and from January 2016 to December 2018 (Phase 2) after ongoing implementation of a clinical pathway tool by all providers. Background characteristics and clinical outcomes in both phases were reviewed retrospectively from case files. Results Overall 223 (13.42%) women among 1661 total births and 244 (11.62%) women among 2099 total births were included in Phase 1 and Phase 2, respectively. Total number of women who underwent trial of labour (TOLAC) increased from 36.77% to 64.34% ( P  
ISSN:0971-9202
0975-6434
DOI:10.1007/s13224-021-01446-5