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First stage of labour management practices: A survey of Australian obstetric providers.
- Source :
-
Australian & New Zealand Journal of Obstetrics & Gynaecology . Jun2017, Vol. 57 Issue 3, p266-271. 6p. 4 Charts. - Publication Year :
- 2017
-
Abstract
- Aims To report on the opinions and reported practices of Australian obstetricians and general practice ( GP) obstetricians, in the definition and management of spontaneous first stage of labour, in low-risk nulliparous women. Materials and methods Cross-sectional survey sent electronically to all Australian Specialist obstetricians ( FRANZCOG) and Diplomates. Respondents answered questions regarding care of nulliparous women in spontaneous labour at term across three domains: (i) practitioners' characteristics; (ii) current practice; (iii) opinion regarding joint statement by ACOG/ SMFM (Society of Maternal Fetal Medicine) 'Safe prevention of primary caesarean section'. Results The dataset included responses from 664 participants, representing 29% of Specialists and 11% of Diplomates. Responses varied in the criteria used to define normal labour, and the diagnosis and management of prolonged labour. Clinicians with more post-qualification experience considered the minimal acceptable progress to be faster than those with fewer years of experience ( P = 0.02). Clinicians working in higher acuity hospitals were more likely to augment labour for longer prior to recommending a caesarean section for active phase arrest, compared to those in lower acuity hospitals ( P = 0.025). The majority of respondents (58.2%) already based their practice on the ACOG/ SMFM 'Safe prevention of primary caesarean section' statement, or would now consider changing their practice. Conclusion There is a lack of consensus among Australian obstetricians and GP obstetricians regarding definition of normal progress in first stage of labour and how to manage abnormal progress; however, many are open to new recommendations for practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- *FIRST stage of labor (Obstetrics)
*HOSPITALS
*CHI-squared test
*LABOR (Obstetrics)
*MATERNAL health services
*OXYTOCIN
*PHYSICIANS
*PROBABILITY theory
*QUESTIONNAIRES
*T-test (Statistics)
*PHYSICIAN practice patterns
*CROSS-sectional method
*DATA analysis software
*DESCRIPTIVE statistics
*MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 00048666
- Volume :
- 57
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Australian & New Zealand Journal of Obstetrics & Gynaecology
- Publication Type :
- Academic Journal
- Accession number :
- 123396076
- Full Text :
- https://doi.org/10.1111/ajo.12510