Document Detail

A systematic review of implementing an elective labor induction policy.
MedLine Citation:
PMID:  22834718     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To evaluate the effect of implementing hospital policies aimed at reducing elective labor induction and increasing spontaneous labor rates.
DATA SOURCES: PubMed, CINAHL, Cochrane Database of Systematic Reviews, and Dissertation Abstracts International.
STUDY SELECTION: Observational studies published from 2000 to 2010 were the only original studies from the past 20 years that met the review criteria. These focused on elective induction, labor induction policies, pre- and postimplementation of labor induction policy outcomes, and cesarean and maternal/neonatal morbidity rates.
DATA EXTRACTION: Six retrospective and three prospective observational studies regarding implementation of labor induction policies were reviewed for types of intervention guidelines implemented and outcomes on rates of induction, cesarean, and maternal/neonatal morbidity.
DATA SYNTHESIS: Implementation of elective induction policies resulted in lower induction, cesarean, operative/instrumental vaginal delivery, and maternal/neonatal morbidity rates. Patients spontaneously gave birth before scheduled elective induction date after policies were implemented, thereby resulting in lower rates of elective induction.
CONCLUSIONS: Elective labor induction policies should be developed and implemented in all labor and delivery units.
D Claudia Akinsipe; Laura E Villalobos; Renee T Ridley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  41     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-07-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5-16     Citation Subset:  IM; N    
Copyright Information:
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
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