Study shows personal convenience and risk of litigation factors influencing decision making for caesarean section
A review of 34 studies involving 7785 obstetricians and 1197 midwives from 20 countries has identified several factors influencing the decision for caesarean sections. Factors included:
A clinicians personal beliefs was identified as the key driver for decision making. Decision was influenced by their perception of risk and the belief that caesarean was a ‘safe option’. Beliefs relating to a women’s request for caesarean also influenced decision making.
Healthcare systems were also found to affect decision making. Fear of litigation was found to be a common influenced in the decision to perform caesarean. In addition to availability of resources, type of coverage and guidelines/management policy.
Finally, clinician characteristics were found to influence the decision making. Personal convenience was described as being an influencing factor with a scheduled caesarean being more convenient. Lack of confidence and skills in vaginal birth was also identified as a contributing factor.
The study suggests that with the increase in number of caesareans performed it is important to look into the factors that effect decision making.
Full study can be viewed here.
600 stillbirths could be prevented each year in England
NHS England has released a report into the impact of the Saving babies lives care bundle. The implementation of the guidance across 19 maternity units has helped to save more the 160 babies.
It is estimated that if the guidance is rolled out across all units 600 stillbirths could be prevented.
Key successes identified in the report were:
Full report available here
ISUOG Intrapartum ultrasound guideline
The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) has published a new practice guideline on intrapartum ultrasound. The below video accompanies the guideline which can be access here.