Quality of care, obstetrical risk management and type of deliveries in Quebec (qualité des soins, gestion du risque obstétrical et du mode d'accouchement au Québec)

Quality of care, obstetrical risk management and type of deliveries in Quebec: a multicentre, two arm, randomised cluster trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN95086407

Enrollment

Registered

2007-10-23

Start date

2008-04-01

Completion date

Unknown

Last updated

2017-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Caesarean section rate Pregnancy and Childbirth Caesarean section

Interventions

Audit Group Hospitals: 1. Society of Obstetricians and Gynaecologists of Canada provide training to health professionals (2 days at the year 2 and 1 day at the year 3) 2. Four self audit cycles with s

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: Hospital level: 1. Public hospitals with functional surgical rooms 2. More than 300 deliveries per year 3. A caesarean rate greater than or equal to 17% 4. Written agreement to participate in the study from the directors of maternity services and professional services Woman level (data collection): 5. Women carrying a viable foetus more than 500 grams during the course of the study

Exclusion criteria

Exclusion criteria: Hospital level: 1. Public hospitals with an existing intervention for reducing caesarean section Woman level (data collection): 2. Women that give birth or abort before 24 weeks of gestation

Design outcomes

Primary

Measure	Time frame
Caesarean section rate (total number of CS/total number of deliveries): data is collected every day from womens' clinical files during the 3.5 years of the program in the 32 hospitals (16 control and 16 interventions), to compare caesarean section rates in the intervention group with the rate in the control group at the end of the intervention period (year 3) and at the end of the follow-up period (year 4 or post intervention period).	—

Measure

Time frame

Caesarean section rate (total number of CS/total number of deliveries): data is collected every day from womens' clinical files during the 3.5 years of the program in the 32 hospitals (16 control and 16 interventions), to compare caesarean section rates in the intervention group with the rate in the control group at the end of the intervention period (year 3) and at the end of the follow-up period (year 4 or post intervention period).

—

Secondary

Measure	Time frame
Measured at the end of the intervention period (year 3) and at the end of the follow-up period (year 4 or post intervention period): 1. Caesarean section rate stratified by indications 2. Caesarean section rate stratified by type of CS (primary or repeat) and by the risk level of the delivery (high or low risk) 3. Vaginal birth after caesarean section rate 4. Obstetrical intervention rate 5. Maternal and neonatal morbidity	—

Measure

Time frame

Measured at the end of the intervention period (year 3) and at the end of the follow-up period (year 4 or post intervention period): 1. Caesarean section rate stratified by indications 2. Caesarean section rate stratified by type of CS (primary or repeat) and by the risk level of the delivery (high or low risk) 3. Vaginal birth after caesarean section rate 4. Obstetrical intervention rate 5. Maternal and neonatal morbidity

—

Countries

Canada

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 5, 2026