The Cascade of Intervention and Birth Outcomes: The Importance of Informed Choices for Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/202152
Type:
Presentation
Title:
The Cascade of Intervention and Birth Outcomes: The Importance of Informed Choices for Women
Abstract:
(41st Biennial Convention) Background: There is shared international concern about rising rates of interventions during childbirth. This study aimed to examine evidence about the relationship between birth interventions and birth outcome for women experiencing 'low-risk' pregnancy.   Methods: A retrospective study involved 10,676 women with a ‘low-risk’ pregnancy who gave birth between 1998-2003, within a regional area in NSW, Australia. A cascade tree was constructed to illustrate the likelihood of experiencing spontaneous vaginal birth according to hospital setting, use of induction of labor (IOL) and epidural for pain relief. Results: When the cascade of intervention commences at IOL, the use of epidural in additional to IOL has a significant impact on increasing the chance of operative birth (instrumental and caesarean section). Women who experienced both interventions during labor were much less likely to experience normal vaginal birth even though their pregnancy was 'low-risk'. Multiple regression analysis revealed that use of epidural was an important determinant of mode of birth for the women studied. Conclusion/Impact: Clinicians should share evidence about possible impact of the Cascade of Intervention on birth outcomes with women during pregnancy. Choices about IOL and epidural should be infomed by best available evidence about the possible outcomes of those choices. Funding: University of Wollongong Conflict of interest: Nil declared
Keywords:
Informed choice; Intervention cascade; Birth outcomes
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Cascade of Intervention and Birth Outcomes: The Importance of Informed Choices for Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/202152-
dc.description.abstract(41st Biennial Convention) Background: There is shared international concern about rising rates of interventions during childbirth. This study aimed to examine evidence about the relationship between birth interventions and birth outcome for women experiencing 'low-risk' pregnancy.   Methods: A retrospective study involved 10,676 women with a ‘low-risk’ pregnancy who gave birth between 1998-2003, within a regional area in NSW, Australia. A cascade tree was constructed to illustrate the likelihood of experiencing spontaneous vaginal birth according to hospital setting, use of induction of labor (IOL) and epidural for pain relief. Results: When the cascade of intervention commences at IOL, the use of epidural in additional to IOL has a significant impact on increasing the chance of operative birth (instrumental and caesarean section). Women who experienced both interventions during labor were much less likely to experience normal vaginal birth even though their pregnancy was 'low-risk'. Multiple regression analysis revealed that use of epidural was an important determinant of mode of birth for the women studied. Conclusion/Impact: Clinicians should share evidence about possible impact of the Cascade of Intervention on birth outcomes with women during pregnancy. Choices about IOL and epidural should be infomed by best available evidence about the possible outcomes of those choices. Funding: University of Wollongong Conflict of interest: Nil declareden_GB
dc.subjectInformed choiceen_GB
dc.subjectIntervention cascadeen_GB
dc.subjectBirth outcomesen_GB
dc.date.available2012-01-11T11:12:49Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:12:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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