Enhancing the induction of labour services at Nottingham University Hospitals NHS Trust: A retrospective cohort study

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

European journal of obstetrics, gynecology, and reproductive biology Pub Date : 2025-04-09 DOI:10.1016/j.ejogrb.2025.113975

Megan Wright , Faris Karouni , Francis Barton , Habiba Kapaya

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引用次数: 0

Abstract

Objective

To assess the impact of introducing standardised electronic booking and multidisciplinary team (MDT) meetings on provision of Induction of labour (IoL) at Nottingham University Hospitals NHS Trust.

Design

A retrospective cohort study.

Setting

Two tertiary maternity hospitals in the UK.

Population

Women and birthing people who gave birth between 01/01/2023 and 31/07/2024.

Methods

The study period was divided into three-time frames: before, during and after implementation of the MDT and electronic booking service. Data were extracted from the electronic booking system (CAREFLOW) and maternity BADGERNET records and analysed with descriptive statistics followed by multinomial regression analysis of trends.

Main Outcome Measures: Overall and early term IoL rates before, during, and after implementation of quality improvement measures.

Results

Overall IoL rate was 38.9 % prior to implementing the electronic IOL service and MDT, increasing to 39.1 % during change implementation and reducing to 36.8 % post implementation. Early term (37 + 0 to 38 + 6 weeks) IoL saw a consistent fall, from 20.9 % to 19.2 % to 18.7 %. Unplanned caesarean section rates were higher for IoL than spontaneous labour at 32 % and 25 % respectively. Whilst IOL requests for post-dates were higher compared to other indications, the most common reason for performing IOL was for women presenting with reduced fetal movements (RFM).

Conclusions

Successful implementation of the IoL MDT and electronic booking service has enabled standardised care provision and better utilisation of resources, for an optimal maternal and perinatal outcome.

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加强在诺丁汉大学医院NHS信托劳务的诱导：一项回顾性队列研究

目的评估引进标准化电子预约和多学科小组（MDT）会议对诺丁汉大学医院NHS信托引产（IoL）提供的影响。设计：回顾性队列研究。在英国设立了两家三级妇产医院。人口在2023年1月1日至2024年7月31日期间分娩的妇女和产妇。方法将研究阶段分为实施MDT和电子预约服务之前、期间和之后三个时间段。数据从电子预约系统（CAREFLOW）和产妇BADGERNET记录中提取，并采用描述性统计和趋势多项式回归分析进行分析。主要观察指标：实施质量改进措施之前、期间和之后的总体和早期人工晶状体率。结果实施电子人工晶状体服务和MDT前的人工晶状体总晶状体率为38.9%，改变实施时为39.1%，实施后为36.8%。早期（37 + 0至38 + 6周）IoL持续下降，从20.9%降至19.2%，再降至18.7%。人工晶状体的非计划剖宫产率高于自然分娩，分别为32%和25%。虽然与其他适应症相比，术后要求人工晶状体植入术的人数更高，但实施人工晶状体植入术的最常见原因是出现胎动减少（RFM）的妇女。结论成功实施人工晶状体MDT和电子预约服务，实现了标准化的护理提供和更好的资源利用，获得了最佳的孕产妇和围产期结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of obstetrics, gynecology, and reproductive biology 医学-妇产科学

CiteScore

4.60

自引率

3.80%

发文量

898

审稿时长

8.3 weeks

期刊介绍： The European Journal of Obstetrics & Gynecology and Reproductive Biology is the leading general clinical journal covering the continent. It publishes peer reviewed original research articles, as well as a wide range of news, book reviews, biographical, historical and educational articles and a lively correspondence section. Fields covered include obstetrics, prenatal diagnosis, maternal-fetal medicine, perinatology, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, sexual medicine and reproductive ethics. The European Journal of Obstetrics & Gynecology and Reproductive Biology provides a forum for scientific and clinical professional communication in obstetrics and gynecology throughout Europe and the world.