#inductionoflabour

City University Centre for Maternal and Child Health Research

@citycmchr.bsky.social

6 hours ago

Prostaglandin insert dinoprostone versus trans-cervical balloon catheter for outpatient labour induction: a randomised controlled trial of feasibility (PROBIT-F) Pilot and Feasibility Studies - The aim was to assess the feasibility of conducting a randomised controlled trial (RCT) of induction of labour comparing use of two methods in the outpatient...

PROBIT – F study looked at the feasibility of carrying out an RCT for prostaglandin insert (Propess) versus trans-cervical balloon catheter for out-patient labour induction #inductionoflabour #outpatient #maternitycare #labourandbirth. Read more:

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City University Centre for Maternal and Child Health Research

@citycmchr.bsky.social

1 day ago

📣Midwives and Obstetricians📣
A postgraduate student in our centre is carrying out research on induction of labour. Share your views about this important topic here: cityunilondon.eu.qua... #inductionoflabour #IOL #midwives #obstetricians

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City University Centre for Maternal and Child Health Research

@citycmchr.bsky.social

1 day ago

Experience of induction of labour: a cross-sectional postnatal survey of women at UK maternity units Objectives This study explored women’s views and experiences of key elements of the induction of labour (IOL) process, including at home or in hospital cervical ripening (CR). Design A questionnaire-based postnatal survey undertaken as part of the CHOICE Study process evaluation. The questionnaire was administered online and included fixed response and free-text options. Setting National Health Service maternity units in the UK. Participants 309 women who had an IOL. Outcome measures The primary outcome measure was experience of IOL. Few women returned home during CR, meaning that statistical comparison between those who experienced home-based and hospital-based CR was not possible. Findings are reported as descriptive statistics with content analysis of women’s comments providing context. Results Information to support choice and understand what to expect about IOL is often inadequate or unavailable. Having IOL can create anxiety and remove options for birth that women had hoped would enhance their experience. Although it can provide a more comfortable environment, home CR is not always an acceptable solution. Women described maternity care negatively impacted by staffing shortages; delays to care sometimes led to unsafe situations. Women who had a positive experience of IOL described supportive interaction with staff as a significant contribution to that. Conclusions Women do not experience IOL as a benign and consequence free intervention. There is urgent need for research to better target IOL and optimise safety and experience for women and their babies. Relatively few women were offered CR at home and further research is needed on this experience. Data are available on reasonable request.

Read here about women's experiences of induction of labour: bmjopen.bmj.com/cont... #inductionoflabour #maternitycare #midwifery

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City University Centre for Maternal and Child Health Research

@citycmchr.bsky.social

2 days ago

Clinicians’ perspectives and experiences of providing cervical ripening at home or in-hospital in the United Kingdom Induction of labour, or starting labour artificially, is offered when the risks of continuing pregnancy are believed to outweigh the risks of the baby being born. In the United Kingdom, cervical ripening is recommended as the first stage of induction. Increasingly, maternity services are offering this outpatient or ‘at home’, despite limited evidence on its acceptability and how different approaches to cervical ripening work in practice. There is also a paucity of literature on clinicians’ experiences of providing induction care in general, despite their central role in developing local guidelines and delivering this care. This paper explores induction, specifically cervical ripening and the option to return home during that process, from the perspective of midwives, obstetricians and other maternity staff. As part of a process evaluation involving five case studies undertaken in British maternity services, interviews and focus groups were conducted with clinicians who provide induction of labour care. The thematic findings were generated through in-depth analysis and are grouped to reflect key points within the process of cervical ripening care: ‘Implementing home cervical ripening’, ‘Putting local policy into practice’, ‘Giving information about induction’ and ‘Providing cervical ripening’. A range of practices and views regarding induction were recorded, showing how the integration of home cervical ripening is not always straightforward. Findings demonstrate that providing induction of labour care is complex and represents a significant workload. Home cervical ripening was seen as a solution to managing this workload; however, findings highlighted ways in which this expectation might not be borne out in practice. More comprehensive research is needed on workload impacts and possible lateral effects within other areas of maternity services.

Read about clinicians’ perspectives and experiences of providing cervical ripening at home or in-hospital in the United Kingdom: journals.plos.org/pl... #inductionoflabour #maternitycare

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City University Centre for Maternal and Child Health Research

@citycmchr.bsky.social

1 week ago

Inducing labour in the United Kingdom: A feminist critical discourse analysis of policy and guidance Induction of labour (IOL), the process of starting labour artificially, is one of the most commonly performed procedures in maternity care in the Unit…

Another paper related to the qCHOICE study: A feminist critical discourse analysis of policy and guidance of induction of labour in the UK #inductionoflabour #feministdiscourse #maternitycare #healthguidance

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City University Centre for Maternal and Child Health Research

@citycmchr.bsky.social

1 week ago

Multiple studies have been published from the qCHOICE study, including this cross-sectional research paper about the impact of COVID-19 on induction of labour practice #covid19 #maternitycare #inductionoflabour ow.ly/i9mw50Y5BMn.

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City University Centre for Maternal and Child Health Research

@citycmchr.bsky.social

1 month ago

Click here for the first publication from the OPTIMAL study: pubmed.ncbi.nlm.nih.... #inductionoflabour #MaternalHealth #Childbirth #MaternityResearch #WomensHealth #Obstetrics #Midwifery

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Posts tagged #inductionoflabour