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Creating effective teams and valuing patient-centered care to change culture and improve equity on labor and delivery: a qualitative study.
BMC Health Serv Res
December 2024
Department of Neurology, The University of Chicago Pritzker School of Medicine, 5841 S. Maryland Ave, Chicago, IL, 60637, USA.
Background: Efforts to reduce cesarean birth overuse have had varied success. De-implementation strategies that incorporate change to organizational characteristics (i.e.
View Article and Find Full Text PDFOveruse of intrapartum CTG monitoring in low-risk women in Norway.
Sex Reprod Healthc
December 2024
Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway. Electronic address:
Temporalities of oxytocin for labour augmentation: a mixed-methods study of time factors shaping labour practices in a busy maternity unit in Tanzania.
BMC Pregnancy Childbirth
August 2024
Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Background: High rates of labour augmentation with oxytocin have been found in some low- and lower-middle-income countries, causing potential perinatal harm. It is critical to understand the reasons for this overuse. Aim was to explore factors that shape practices around using oxytocin for labour augmentation in a high-volume labour ward in Dar es Salaam, Tanzania.
View Article and Find Full Text PDFHow does hospital organisation influence the use of caesarean sections in low- and middle-income countries? A cross-sectional survey in Argentina, Burkina Faso, Thailand and Vietnam for the QUALI-DEC project.
BMC Pregnancy Childbirth
January 2024
Ceped unit, Université Paris Cité, IRD, Campus Saint-Germain-des-Prés, Inserm, 45 rue des Saints-Pères, Paris, F-75006, France.
Background: Improving the understanding of non-clinical factors that lead to the increasing caesarean section (CS) rates in many low- and middle-income countries is currently necessary to meet the challenge of implementing effective interventions in hospitals to reverse the trend. The objective of this study was to study the influence of organizational factors on the CS use in Argentina, Vietnam, Thailand and Burkina Faso.
Methods: A cross-sectional hospital-based postpartum survey was conducted in 32 hospitals (8 per country).
Labor unit culture and attitudes toward supporting vaginal birth-The Swedish version of the labor culture survey (S-LCS)-Psychometric properties.
Birth
March 2024
Department of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.
Background: In order to evaluate interventions aimed at reducing cesarean births, care practitioners' attitudes are important to measure. The Labor Culture Survey (LCS) is a scale that measures individual and unit attitudes towards supporting vaginal birth. As no equivalent scale exists in Sweden, the aim was to translate, adapt, and validate the LCS and to investigate whether there were differences in attitudes toward supporting vaginal birth between maternity care practitioners.
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