Quality of care, obstetrical risk management and type of deliveries in Quebec (qualité des soins, gestion du risque obstétrical et du mode d'accouchement au Québec)
Not Applicable
Completed
- Conditions
- Caesarean section ratePregnancy and ChildbirthCaesarean section
- Registration Number
- ISRCTN95086407
- Lead Sponsor
- Sainte-Justine Hospital Research Center (Centre de recherche du CHU Sainte-Justine) (Canada)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Female
- Target Recruitment
- 32
Inclusion Criteria
Hospital level:
1. Public hospitals with functional surgical rooms
2. More than 300 deliveries per year
3. A caesarean rate greater than or equal to 17%
4. Written agreement to participate in the study from the directors of maternity services and professional services
Woman level (data collection):
5. Women carrying a viable foetus more than 500 grams during the course of the study
Exclusion Criteria
Hospital level:
1. Public hospitals with an existing intervention for reducing caesarean section
Woman level (data collection):
2. Women that give birth or abort before 24 weeks of gestation
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Caesarean section rate (total number of CS/total number of deliveries): data is collected every day from womens' clinical files during the 3.5 years of the program in the 32 hospitals (16 control and 16 interventions), to compare caesarean section rates in the intervention group with the rate in the control group at the end of the intervention period (year 3) and at the end of the follow-up period (year 4 or post intervention period).
- Secondary Outcome Measures
Name Time Method Measured at the end of the intervention period (year 3) and at the end of the follow-up period (year 4 or post intervention period):<br>1. Caesarean section rate stratified by indications <br>2. Caesarean section rate stratified by type of CS (primary or repeat) and by the risk level of the delivery (high or low risk)<br>3. Vaginal birth after caesarean section rate <br>4. Obstetrical intervention rate <br>5. Maternal and neonatal morbidity