AI Article Synopsis
- The study evaluates the impact of hospital policies aimed at reducing elective labor inductions and increasing spontaneous labor rates.
- It analyzes observational studies from 2000 to 2010 on the effectiveness of these policies, focusing on outcomes like cesarean rates and maternal/neonatal health.
- Findings suggest that implementing these policies leads to significant reductions in elective inductions and related health risks, supporting the need for such policies in all labor and delivery units.
Article Abstract
Objective: To evaluate the effect of implementing hospital policies aimed at reducing elective labor induction and increasing spontaneous labor rates.
Data Sources: PubMed, CINAHL, Cochrane Database of Systematic Reviews, and Dissertation Abstracts International.
Study Selection: Observational studies published from 2000 to 2010 were the only original studies from the past 20 years that met the review criteria. These focused on elective induction, labor induction policies, pre- and postimplementation of labor induction policy outcomes, and cesarean and maternal/neonatal morbidity rates.
Data Extraction: Six retrospective and three prospective observational studies regarding implementation of labor induction policies were reviewed for types of intervention guidelines implemented and outcomes on rates of induction, cesarean, and maternal/neonatal morbidity.
Data Synthesis: Implementation of elective induction policies resulted in lower induction, cesarean, operative/instrumental vaginal delivery, and maternal/neonatal morbidity rates. Patients spontaneously gave birth before scheduled elective induction date after policies were implemented, thereby resulting in lower rates of elective induction.
Conclusions: Elective labor induction policies should be developed and implemented in all labor and delivery units.
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| http://dx.doi.org/10.1111/j.1552-6909.2011.01320.x | DOI Listing |
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