2 research outputs found
Effectiveness of the Baby Friendly Community Initiative in Italy: a non-randomised controlled study
Interinstitutional Variation of Caesarean Delivery Rates According to Indications in Selected Obstetric Populations: A Prospective Multicenter Study
The aim of the study was to identify which groups of women contribute to interinstitutional variation of caesarean delivery (CD)
rates and which are the reasons for this variation. In this regard, 15,726 deliveries from 11 regional centers were evaluated using the
10-group classification system. Standardized indications for CD in each group were used. Spearman’s correlation coefficient was
used to calculate (1) relationship between institutional CD rates and relative sizes/CD rates in each of the ten groups/centers; (2)
correlation between institutional CD rates and indications for CD in each of the ten groups/centers. Overall CD rates correlated
with bothCD rates in spontaneous and induced labouring nulliparous women with a single cephalic pregnancy at term( = 0.005).
Variation of CD rates was also dependent on relative size and CD rates in multiparous women with previous CD, single cephalic
pregnancy at term ( < 0.001). As for the indications, “cardiotocographic anomalies” and “failure to progress” in the group of
nulliparous women in spontaneous labour and “one previous CD” in multiparous women previous CD correlated significantly
with institutional CD rates ( = 0.021, = 0.005, and < 0.001, resp.).These results supported the conclusion that only selected
indications in specific obstetric groups accounted for interinstitutional variation of CD rates