Key result
Multifaceted strategy increases emergency cesarean appropriateness to ~92% without significantly reducing overall rates.
Why the study?
Does a multifaceted strategy improve the appropriateness of cesarean sections in public hospitals?
Population
Patients undergoing cesarean sections in two public Spanish hospitals
Comparison
Multifaceted strategy including a consensus… vs Pre-intervention period
Design
Cohort
Authors
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May support multifaceted protocols to improve cesarean appropriateness in public hospitals; hypothesis-generating for effects on rates and outcomes.
Does a multifaceted strategy improve the appropriateness of cesarean sections in public hospitals?
A multifaceted strategy including consensus protocols and education can improve the appropriateness of indications for emergency cesarean sections.
Calvo et al. (2009) studied Cesarean sections. Multifaceted strategy (consensus protocol, education, organizational changes) vs. Pre-intervention period was evaluated on Appropriateness rates for emergency cesarean sections. A multifaceted strategy increased emergency cesarean section appropriateness rates from 68.3% to 84.3% and 80.0% to 92.0% in two hospitals, with non-significant decreases in overall cesarean rates.
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