Christopher L Dixon, Amanpreet Bhullar, Phillip Romanski, Stephen Carlan
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引用次数: 0
Abstract
Objective: To evaluate the effect of a "hard stop" on elective induction prior to 39 weeks at a large volume obstetrics hospital.
Study design: From July 1, 2011, to June 30, 2013, there were 27,435 deliveries at our institution. We performed a retrospective chart review of all elective inductions I year before and after the implementation of a 39 week "hard stop" .policy. All women (n=2,574) who underwent elective induction of labor were analyzed.
Results: The rate of cesarean delivery was not sta- tistically different between the group evaluated before the "hard stop" and those after (20.6% vs 18%). The rate of postpartum hemorrhage decreased significantly following the policy change (6.2% vs 3.2%, respectively). There were no other clinically important differences in maternal or neonatal outcomes.
Conclusion: The implementation of a "hard stop" policy aimed at eliminating elective inductions before 39 weeks did not affect the rate of cesarean birth.
目的:评价某大产科医院“硬停”对39周前择期引产的影响。研究设计:2011年7月1日至2013年6月30日，我院共分娩27435例。我们对实施39周“硬停”政策前后一年的所有择期入职进行了回顾性图表回顾。所有接受择期引产的妇女(n= 2574)进行了分析。结果:硬停术前与硬停后两组剖宫产率无统计学差异(20.6% vs 18%)。政策改变后，产后出血率明显下降(分别为6.2%和3.2%)。在产妇或新生儿结局方面没有其他重要的临床差异。结论:实施旨在消除39周前择期引产的“硬停”政策对剖宫产率没有影响。
期刊介绍：
The Journal of Reproductive Medicine® has been the essential tool of Obstetricians and Gynecologists since 1968. As a highly regarded professional journal and the official periodical of six medical associations, JRM® brings timely and relevant information on the latest procedures and advances in the field of reproductive medicine. Published bimonthly, JRM® contains peer-reviewed articles and case reports submitted by top specialists. Common topics include research, clinical practice, and case reports related to general obstetrics and gynecology, infertility, female cancers, gynecologic surgery, contraception, and medical education.
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