Promoting evidence based practice in maternal care

Langer, Ana

doi:10.1136/bmj.324.7343.928

Cited by 35 publications

(28 citation statements)

References 12 publications

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“…4 The effect of dysfunctional labor on the cesarean delivery rate is compounded by patient dissatisfaction with the available management for dysfunctional labor, leading to an increasing demand for elective cesarean delivery in subsequent pregnancies. [1][2][3] This seems likely to continue until we have a better understanding of the mechanisms producing dysfunctional labor and new therapeutic strategies. There is an urgent need to further investigate the role of myometrial pH in labor.…”

Section: Discussionmentioning

confidence: 96%

“…In 1985, the World Health Organization issued a consensus statement suggesting there were no additional health benefits associated with a cesarean delivery rate above 10 -15%. However, rates in some Latin American countries are approaching 40%, 1,2 in the United States they are 24%, 3 and in England and Wales they are 21.5%. 4 A substantial proportion (20%) of cesarean deliveries are for failure to progress in labor (dystocia).…”

mentioning

confidence: 96%

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Dysfunctional Labor and Myometrial Lactic Acidosis

Quenby¹,

Pierce²,

Brigham³

et al. 2004

Obstetrics & Gynecology

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Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 96%

Dysfunctional Labor and Myometrial Lactic Acidosis

Quenby¹,

Pierce²,

Brigham³

et al. 2004

Obstetrics & Gynecology

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“…The indications for performing CS are gestational diabetes, pre-eclampsia, failure to progress in labor, failed induction and dystocia [4][5][6][7]. On the other hand the some benefit reported in the literature as malpresentation, cord prolapse, fetal distress and large size baby, moreover some benefits for both other and fetus such as abnormal placenta, cephalopelvic disproportion [8].…”

Section: Introductionmentioning

confidence: 99%

Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt

Mohamed¹

2017

AJNS

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Abstract:Background: The rate of caesarean section (CS) has been increasing among women in Egypt, However, it is selected by pregnant women without medical rationales and justification, thus the wrong concepts and knowledge can play a role on decision for selecting CS as the easier mode of delivery. Aim: To evaluate the effect of an interventional program on pregnant women's knowledge and attitude toward mode of delivery at Beni -Suef city. Methods: A quasi-experimental research design was used in this study composed of 287 primiparous women with normal pregnancy at 34-36 weeks of gestational age and with no indication to cesarean section was selected from antenatal clinic at Beni Suef general Hospital. The study was conducted from April to September 2016. Data collection tools: a structured interview questionnaires part I, Sociodemographic characteristics, part II; Knowledge Test regarding mode of delivery, and part III, Attitude Test regarding normal and cesarean delivery. Results: the study findings was reported that significantly higher total scores of pregnant women's knowledge (P=0.00) toward caesarian section after intervention compared with before intervention program. As regard to attitude of women toward cesarean section significantly decreased scores indicating lower positive attitude to cesarean section after intervention (P=0.00). Conclusion: based on the study findings and Hypothesis there were improvement of pregnant women's knowledge toward the mode of delivery. Recommendations: Based on the results study recommended that urgent preventive measures should be taken to reduce the high rate of cesarean deliveries by improving women's knowledge toward the advantage and disadvantage for different modes of delivery which can lead to positive attitude.

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“…While unnecessary overuses of surgical practices are being seen in some countries, millions of women in other countries who need these procedures do not have access to them, putting their and their children's lives at risk 8 *Telengana is a newly formed state, which was the part of Andhra Pradesh and hence CS rate of Andhra Pradesh up to NFHS-3 has taken to analyse level and trend Gujarat and Jharkhand. The percentage of birth by C-section is higher in urban areas than in rural areas and in states like Telangana, Jammu& Kashmir, Andhra Pradesh, Tripura, Pondicherry and Kerala over 30 percent of the delivery in urban areas takes place through C-section.…”

Section: Introductionmentioning

confidence: 99%