| Reduction of elective inductions in a large community hospital. | |
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MedLine Citation:
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PMID: 19376493 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Dale P Reisner; Terri K Wallin; Rosalee W Zingheim; David A Luthy |
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Publication Detail:
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Type: Journal Article Date: 2009-04-18 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 200 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-06-01 Completed Date: 2009-07-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 674.e1-7 Citation Subset: AIM; IM |
Affiliation:
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Division of Perinatal Medicine, Department of Obstetrics and Gynecology, Swedish Medical Center, Seattle, WA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section / statistics & numerical data Female Hospitals, Community Humans Labor, Induced / statistics & numerical data* Pregnancy Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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