作者
Nils Chaillet, Benoit Masse, William A Grobman, Allison Shorten, Robert Gauthier, Patrick Rozenberg, Marylène Dugas, Jean-Charles Pasquier, Francois Audibert, Haim A Abenhaim, Suzanne Demers, Bruno Piedboeuf, William Fraser, Robert Gagnon, Patricia Monnier, Guy-Paul Gagné, Diane Francoeur, Isabelle Girard, Louise Duperron, Marie-Josée Bédard, Mira Johri, Eric Dubé, Thierry Ducruet, Mario Girard, Emmanuel Bujold
发表日期
2023/1/1
期刊
American Journal of Obstetrics & Gynecology
卷号
228
期号
1
页码范围
S2-S3
出版商
Elsevier
简介
Objective
To assess whether a multifaceted intervention, promoting person-centered decision making and best practices in intrapartum care for women with one prior cesarean delivery, reduces major perinatal and maternal morbidity.
Study Design
A 3.5-year cluster-randomized controlled trial in 40 hospitals in Quebec. The study included a 1-year baseline period, a 6-month implementation period, and a 2-year intervention period. After the baseline, hospitals were stratified by level of care and randomly assigned to either a multifaceted intervention or a control group. The intervention consisted of an initial training on best practices in intrapartum care and provision of tools that aimed to: support women’s decision-making about mode of delivery; estimate the chance of vaginal birth after cesarean (VBAC); and estimate the risk of uterine rupture using ultrasound measurement of the lower uterine segment. The primary …
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N Chaillet, B Masse, WA Grobman, A Shorten… - American Journal of Obstetrics & Gynecology, 2023