Implementation of a calculator to predict cesarean delivery during labor induction: a qualitative evaluation of the clinician perspective

Abstract

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Standardized Cesarean Risk Counseling with Induction: Impact on Racial Disparities in Birth Satisfaction

“…18 [16,20] 19 [17,20] 0.07 19 [17,20] 19 [18,20] Black women. This improvement, without a significant change for non-Black women, was associated with reduced racial disparities in birth satisfaction postimplementation.…”

“…In a qualitative study interviewing 20 clinicians who cared for women in this prospective cohort, clinicians stated that implementation of the cesarean risk calculator led to a personalized conversation on likelihood of cesarean delivery between the patient and clinician that ensured counseling occurred for every woman undergoing induction, regardless of race, in a standardized way. 17 Women's appreciation for this counseling is reflected in improved “perception of care quality” scores, regardless of whether scores were driven by the additional time spent between clinician and patient or the specific content of that discussion.…”