Implementation of Calculated Cesarean Section Risk Study: Patient-focused Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 20,000
- 试验地点
- 28
- 主要终点
- Cesarean delivery rate (for any indication)
研究概览
简要总结
This study is looking at the impact of the implementation of a cesarean risk calculator on cesarean delivery and maternal morbidity rates.
详细描述
In this study a cesarean risk calculator will be instituted as a part of standard of care in a randomized rollout at 14 labor and delivery clinical sites across 4 institutions. The leadership at all of the sites have planned to implement this intervention for routine use at both sites. This study will evaluate cesarean delivery rates and maternal morbidity before and after implementation at each site.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •All postpartum patients who were eligible for cesarean risk calculator utilization:
- •delivery of a full-term (greater than or equal to 37 weeks) singleton gestation after presenting
- •with intact membranes
- •undergoing an induction of labor from cervical dilation less than or equal to 2cm
排除标准
- •Postpartum patient who had a prior pregnancy resulting in Cesarean delivery
结局指标
主要结局
Cesarean delivery rate (for any indication)
时间窗: at time of delivery
Maternal morbidity
时间窗: from delivery to 30 days postpartum
one or more of the following: endometritis, postpartum hemorrhage greater than or equal to one liter, wound infection requiring antibiotics, venous thromboembolism, hysterectomy, intensive care unit admission, readmission within 30 days, and death
次要结局
- Neonatal morbidity(delivery admission)
研究者
Rebecca Feldman Hamm
Assistant Professor
University of Pennsylvania