Primary cesarean delivery rate: Potential impact of a checklist - 29/10/18
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Abstract |
Background |
Cesarean section is the most common surgical procedure performed in developed countries. Its incidence is increasing to a worrisome extent. The 2003 French National Perinatal Survey showed that the inflation in the overall cesarean rate was mainly due to an increase in the first cesarean delivery rate.
Objective |
To evaluate a new tool: a checklist that intent to decrease the first cesarean delivery rate.
Study design |
Retrospective, observational, multi-center study. A new tool, a “First cesarean delivery” checklist was built according American and French guidelines. Women with full-term of pregnancy, nulliparous or multiparous with a first caesarean delivery including arrest of labor, breech presentation or suspected fetal macrosomia were included. The checklist was applied. Potentially preventable cesareans were analyzed.
Results |
Among 571 first cesarean section, 178 were eligible to check list application. 147 charts were analyzed in the study. 11.9% of first cesarean deliveries performed were potentially avoidable after applying the checklist. This represented 6.6% of all cesareans.
Conclusion |
The checklist based on the recall of good practices could be an interesting tool to decrease the first cesarean rate.
Le texte complet de cet article est disponible en PDF.Keywords : Cesarean section, First cesarean delivery, Arrest of labor, Breech presentation, Suspected fetal macrosomia
Plan
Vol 47 - N° 9
P. 419-424 - novembre 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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