A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study

Rossen, Janne; Lučovnik, Miha; Eggebø, Torbjørn Moe; Tul, Nataša; Murphy, Martina; Vistad, Ingvild; Robson, Michael

doi:10.1136/bmjopen-2017-016192

Cited by 32 publications

(31 citation statements)

References 32 publications

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“…Multiparous women whose labour was induced were less likely to have an emergency CS than nulliparous women. Similar ndings were reported in a study using the Ten-Group Classi cation system [46], which compared outcomes for women birthing in three hospitals in Norway, Ireland and Slovenian. The CS rate in group 2 (nulliparous women at term gestation, cephalic presentation, induction of labour) was 25.7% in Norway, 34.4% in Ireland and 30.4% in Slovenia.…”

Section: Discussionsupporting

confidence: 84%

Oxytocin administration for induction and augmentation of labour in Polish maternity units– an observational study

Baranowska

Kajdy²,

Kiersnowska

et al. 2020

Preprint

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BackgroundThere is not enough data regarding practices and protocols that healthcare personnel follow and the amount of oxytocin that women receive during labour. Empirical evidence indicates that compliance with the guidelines improves the quality of healthcare and reduces adverse effects. The aim of the study was to evaluate oxytocin supply practices of oxytocin for labour induction and augmentation in Polish maternity units.MethodsThe article presents a prospective observational study. Data collection took place in two selected maternity units between January 15 and July 31, 2019 (n=545). Inclusion criteria were women in term pregnancies, undergoing oxytocin induction or augmentation of labour. Exclusion criteria were women who were in preterm labour, aged less than 18 years, and women whose baby was known to have a malformation. ResultsThe average total amount of oxytocin administrated to women before birth was 7,329µg following labour induction and 3.952µg following labour augmentation. The actual administration of oxytocin deviated both from the unit and national guidelines in 93,6% of all observed labours. We found no statistically significant correlation between the amount of oxytocin administered and mode of delivery, immediate postpartum blood loss or Apgar scores. There was no observed effect of total oxytocin on short-term perinatal outcomes. Hospitals with similar protocols did not differ significantly in terms of total oxytocin amount, induction to stimulation ratio—the only observed difference was the mode of delivery. ConclusionsThere is a need for a thorough analysis to find out the reasons for the observed discrepancies between protocols and practice.

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Section: Discussionsupporting

confidence: 84%

Oxytocin administration for induction and augmentation of labour in Polish maternity units– an observational study

Baranowska

Kajdy²,

Kiersnowska

et al. 2020

Preprint

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“…7,27 In the Icelandic translation of the Apgar score guidelines until 2015, "grimace" was translated as "crying," and thus, the infant needed to cry-not simply to grimace-in order to receive one score for the "response to stimulation" section (private communication). 7,27 In the Icelandic translation of the Apgar score guidelines until 2015, "grimace" was translated as "crying," and thus, the infant needed to cry-not simply to grimace-in order to receive one score for the "response to stimulation" section (private communication).…”

Section: Discussionmentioning

confidence: 99%

“…The proportion of low Apgar scores in most Robson groups in our study was somewhat higher than in previous studies. 7,27 In the Icelandic translation of the Apgar score guidelines until 2015, "grimace" was translated as "crying," and thus, the infant needed to cry-not simply to grimace-in order to receive one score for the "response to stimulation" section (private communication). This was corrected in 2015, but this could explain the relatively high proportion of low Apgar scores in our study.…”

Section: Discussionmentioning

confidence: 99%

The Robson 10‐group classification in Iceland: Obstetric interventions and outcomes

Einarsdóttir

Sigurðardóttir

Bjarnadóttir

et al. 2019

Birth

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Background Rising cesarean rates call for studies on which subgroups of women contribute to the rising rates, both in countries with high and low rates. This study investigated the cesarean rates and contributing groups in Iceland using the Robson 10‐group classification system. Methods This study included all births in Iceland from 1997 to 2015, identified from the Icelandic Medical Birth Registry (81 839). The Robson distribution, cesarean rate, and contribution of each Robson group were analyzed for each year, and the distribution of other outcomes was calculated for each Robson group. Results The overall cesarean rate in the population was 16.4%. Robson groups 1 (28.7%) and 3 (38.0%) (spontaneous term births) were the largest groups, and groups 2b (0.4%) and 4b (0.7%) (prelabor cesareans) were small. The cesarean rate in group 5 (prior cesarean) was 55.5%. Group 5 was the largest contributing group to the overall cesarean rate (31.2%), followed by groups 1 (17.1%) and 2a (11.0%). The size of groups 2a (RR 1.04 [95% CI 1.01‐1.08]) and 4a (RR 1.04 [95% CI 1.01‐1.07]) (induced labors) increased over time, whereas their cesarean rates were stable (group 2a: P = 0.08) or decreased (group 4a: RR 0.95 [95% CI 0.91‐0.98]). Conclusions In comparison with countries with high cesarean rates, the prelabor cesarean groups (singleton term pregnancies) in Iceland were small, and in women with a previous cesarean, the cesarean rate was low. The size of the labor induction group increased, yet the cesarean rate in this group did not increase.

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“…This study utilized the descriptive-correlation design. Descriptive research design is a specific method which involves observing and describing the behavior of the participants [6]; it is done without making interference from the investigator [20]; it explores causes of the different frequencies of outcomes and events [21]. In this study, this method was appropriate because the TVE support and learning facilities provided by the school such as the library and internet connectivity; Science laboratory; TVE laboratory; computer and ICT were described according to the assessment of the students.…”

Section: Methodsmentioning

confidence: 99%

Assessment of Technical Vocational Education Programs of Davao Del Sur School of Fisheries

Zamora-Sereguine

2020

AJESS

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Aims: The study generally assessed the Technical Vocational Education Program of Davao del Sur School of Fisheries. Study Design: Quantitative-descriptive correlation. Place and Duration of Study: The study was conducted at the Davao del Sur School of Fisheries in Davao del Sur, The Philippines. The study was conducted for 10 months. Methodology: This study used the universal sampling for both sets of respondents; the teachers of TVE program and the Grade 10 students. There were 32 teachers and 322 students participated in the study. The Technical Vocational Education program was assessed in terms of library facilities and internet connectivity, Science laboratory facilities, TVE laboratory facilities and the use of information and communication technology. These were correlated to the academic performances of the students. Results: The findings of the study showed that in terms of population, 322 students were enrolled in the TVE program; majority of these students took the food processing technology course that comprised 39.45%. In terms of teachers’ qualification, 32 were Bachelor of Art or Bachelor of Secondary Education graduates. There were 18 out of 32 teachers who were teaching in TVE programs and the rest taught in other related courses. For qualification to teach in the Program, one- third of the total faculty was handling fish culture, while two third was teaching outside the flagship courses. In the assessment of the support learning facilities, the library, internet connectivity, science and laboratory facilities were described as “moderately adequate”; the TVE laboratory facilities was described as “very adequate”. In the assessment of the ICT in instruction, it was described as “very effective”. The study found significant relationship between the academic performance of the TVE students and the support learning facilities and between the academic performance of the TVE students and the used of information and communication technology (ICT) in learning. Conclusion: The school needs to maintain its support learning facilities and information and communication technology so that it can produce more competent TVE students. However, the school may look into industry partners so that actual application of students’ theoretical knowledge may be put into action. Moreover, tracer study may also be conducted to find the competitiveness and employability of the graduates.

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A method to assess obstetric outcomes using the 10-Group Classification System: a quantitative descriptive study

Cited by 32 publications

References 32 publications

Oxytocin administration for induction and augmentation of labour in Polish maternity units– an observational study

Oxytocin administration for induction and augmentation of labour in Polish maternity units– an observational study

The Robson 10‐group classification in Iceland: Obstetric interventions and outcomes

Assessment of Technical Vocational Education Programs of Davao Del Sur School of Fisheries

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