AI Article Synopsis
- - The study aimed to evaluate the cesarean delivery (CD) rates in low-risk pregnancies before and after the implementation of a hospital program called CARE at Markham Stouffville Hospital in Canada.
- - Researchers compared CD rates from the year prior to the CARE strategy's implementation (2009-2010) to rates one year after (2012-2013), noting a significant reduction from 30.3% to 26.4% at the intervention hospital.
- - In contrast, no significant changes were observed in CD rates at control hospitals, indicating that the CARE strategy was effective specifically at the target hospital.
Article Abstract
Objective: To assess the cesarean delivery (CD) rate among low-risk pregnancies before and after implementation of a hospital-based program in Canada.
Methods: A prospective before-and-after study was conducted to assess the effects of the CARE (CAesarean REduction) strategy, which was developed and implemented at Markham Stouffville Hospital, Toronto, ON, Canada, in 2010 to reduce CD among low-risk women. Hospital records were reviewed to identify changes in the proportions of CD performed during 12 months (April 2009-March 2010) before implementation of the CARE strategy versus 12 months after implementation (April 2012-March 2013) at Markham Stouffville Hospital and 36 hospitals of the same level in the same province.
Results: At the intervention hospital, 30.3% (964/3181) of women underwent CD in 2009-2010, compared with 26.4% (803/3045) in 2012-2013 (difference -3.9%, P<0.001). By contrast, no significant difference was recorded in control hospitals (28.1% [23 694/84 361] vs 28.2% [23 683/83 895]; difference 0.1%, P=0.5157).
Conclusion: Implementation of the CARE strategy reduced rates of CD among the target population.
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| http://dx.doi.org/10.1002/ijgo.12263 | DOI Listing |
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