Opin vísindi

Variations in childbirth interventions in high-income countries: protocol for a multinational cross-sectional study

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dc.contributor Háskóli Íslands
dc.contributor University of Iceland
dc.contributor.author Seijmonsbergen-Schermers, Anna
dc.contributor.author de Jonge, Ank
dc.contributor.author van den Akker, Thomas
dc.contributor.author Beeckman, Katrien
dc.contributor.author Bogaerts, Annick
dc.contributor.author Barros, Monalisa
dc.contributor.author Janssen, Patricia
dc.contributor.author Binfa, Lorena
dc.contributor.author Rydahl, Eva
dc.contributor.author Frith, Lucy
dc.contributor.author Gross, Mechthild
dc.contributor.author Halfdansdottir, Berglind
dc.contributor.author Daly, Deirdre
dc.contributor.author Calleja-Agius, Jean
dc.contributor.author Gillen, Patricia
dc.contributor.author Vika Nilsen, Anne Britt
dc.contributor.author Declercq, Eugene
dc.date.accessioned 2018-09-19T15:36:27Z
dc.date.available 2018-09-19T15:36:27Z
dc.date.issued 2018-01
dc.identifier.citation Seijmonsbergen-Schermers, A., de Jonge, A., van den Akker, T., Beeckman, K., Bogaerts, A., Barros, M., . . . Declercq, E. (2018). Variations in childbirth interventions in high-income countries: protocol for a multinational cross-sectional study. BMJ Open, 8(1). doi:10.1136/bmjopen-2017-017993
dc.identifier.issn 2044-6055
dc.identifier.uri https://hdl.handle.net/20.500.11815/848
dc.description.abstract Introduction There are growing concerns about the increase in rates of commonly used childbirth interventions. When indicated, childbirth interventions are crucial for preventing maternal and perinatal morbidity and mortality, but their routine use in healthy women and children leads to avoidable maternal and neonatal harm. Establishing ideal rates of interventions can be challenging. This study aims to describe the range of variations in the use of commonly used childbirth interventions in high-income countries around the world, and in outcomes in nulliparous and multiparous women. Methods and analysis This multinational cross-sectional study will use data from births in 2013 with national population data or representative samples of the population of pregnant women in high-income countries. Data from women who gave birth to a single child from 37 weeks gestation onwards will be included and the results will be presented for nulliparous and multiparous women separately. Anonymised individual level data will be analysed. Primary outcomes are rates of commonly used childbirth interventions, including induction and/or augmentation of labour, intrapartum antibiotics, epidural and pharmacological pain relief, episiotomy in vaginal births, instrument-assisted birth (vacuum or forceps), caesarean section and use of oxytocin postpartum. Secondary outcomes are maternal and perinatal mortality, Apgar score below 7 at 5 min, postpartum haemorrhage and obstetric anal sphincter injury. Univariable and multivariable logistic regression analyses will be conducted to investigate variations among countries, adjusted for maternal age, body mass index, gestational weight gain, ethnic background, socioeconomic status and infant birth weight. The overall mean rates will be considered as a reference category, weighted for the size of the study population per country. Ethics and dissemination The Medical Ethics Review Committee of VU University Medical Center Amsterdam confirmed that an official approval of this study was not required. Results will be disseminated at national and international conferences and published in peer-reviewed journals.
dc.description.sponsorship The study was developed during a meeting with COST-members (European Cooperation in Science and Technology). These meetings are funded by the COST Action IS1405 ‘BIRTH’ (European Cooperation in Science and Technology). There is no other external funding for this study.
dc.format.extent e017993
dc.language.iso en
dc.publisher BMJ
dc.relation.ispartofseries BMJ Open;8(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Ljósmóðurfræði
dc.subject Fæðing
dc.subject Fæðingarlækningar
dc.title Variations in childbirth interventions in high-income countries: protocol for a multinational cross-sectional study
dc.type info:eu-repo/semantics/article
dcterms.license This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
dc.description.version Peer Reviewed
dc.identifier.journal BMJ Open
dc.identifier.doi 10.1136/bmjopen-2017-017993
dc.relation.url https://syndication.highwire.org/content/doi/10.1136/bmjopen-2017-017993
dc.contributor.department Hjúkrunarfræðideild (HÍ)
dc.contributor.department Faculty of Nursing (UI)
dc.contributor.school Heilbrigðisvísindasvið (HÍ)
dc.contributor.school School of Health Sciences (UI)

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