Labour and delivery Pregnancy and Childbirth Caesarean section
Conditions
Interventions
The study sites (n=2) are randomly allocated to the intervention or control by an independent statistician with no connection to the trial, using the R-software.
The intervention is de
Sponsors
Health Research Board
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Pregnant woman 2. Aged over 18 3. Speak either English or a language for which translation is available 4. Give informed consent
Exclusion criteria
Exclusion criteria: Vaginal birth contraindicated at time of booking
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Caesarean section rate (overall per site) is measured using hospital birth records | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Labour interventions (e.g. induction and acceleration of labour, pain relief used, electronic fetal monitoring) are measured by reviewing women's hospital labour and birth records. 2. Maternal/neonatal morbidities (e.g. postpartum haemorrhage, perineal trauma, wound infection, need for neonatal resuscitation, neonatal admission to intensive care, readmission to hospital) are assessed using hospital records. 3. Mother and baby health problems are assessed using self-completion surveys (health and wellbeing questionnaires that include the SF-36 instrument) during pregnancy and at 3 and 6 months post natal. 4. Clinician attitudes to caesarean section are measured by a self-completion questionnaire adapted from the UK National Sentinel Caesarean Section Audit. 5. Feasibility and pilot outcomes (% eligible and participating, time to recruit, etc.) are assessed using trial screening and eligibility forms, numbers participating (consent forms) and time to recruit full sample size (months). | — |
Countries
Ireland
Outcome results
None listed