This Week in Maternity - New studies; Unplanned Caesarean links to depression, Incentive programme for safety reporting and Operator experience linked to OASIS
Unplanned caesarean sections linked to postnatal depression
A study titled ‘Mother’s mental health after childbirth: Does the delivery method matter?’ has been published looking into the effects of caesarean section on a mothers mental health specifically focusing on caesareans that are unplanned. It used data from across the UK collected through the UK Millenium Cohort Study.
The result of the study indicate that women who had an unplanned caesarean delivery were more vulnerable to depression. They were 15% more likely to experience postnatal depression.
The author highlights the implications for service provision summarising:
‘From a policy perspective, this study highlights the importance of accounting for the psychological costs of unplanned caesarean deliveries when evaluating the costs and benefits of this procedure….. Additionally, it suggests the importance of providing appropriate services, such as professionally-based home visits and peer-based telephone support, to prevent the development of postnatal depression (Royal College of Obstetricians and Gynaecologists, 2017).’
The study is available here.
Incentive programme improved reporting of safety events
An article ‘Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program’ has outlined the success of a programme aimed at improving trainee safety event reporting.
The programme provided financial incentives to trainees reporting 2 or more events with the objective to increase safety event reporting and improve patient safety. An education module was also provided to outline the importance of reporting and how to do so.
The article reported an increase in reporting from 0.5% of reports being submitted by trainees to 7% following the incentive programme. The types of events being reported by trainees differed to that of other health professionals contributing to a wider view of safety events. Following the financial incentive scheme report remained high in the year following.
Read the full article here.
Operator experience affects the risk of obstetric anal sphincter injury in vacuum extraction deliveries
A study conducted in Sweden has looked at the risk factors for obstetric anal sphincter injuries (OASIS) with a focus on operator related factors.
The study looked at data from one hospital over a 1 year period with 323 nulliparous women included. The results showed OASIS occurred in 17.6% of those women with 11.5% of deliveries performed by an obstetrician, 13.5% by a gynaecologist and 26.9% by residents. Risk of OASIS was 5 times higher when vacuum extraction was performed by residents.
The study highlights that it is the number of years’ experience as opposed to the number of procedures completed that impact the risk of OASIS suggesting that more training and supervision is required.
The study can be accessed here.