Standardized protocol for labor induction: a type I hybrid effectiveness-implementation trial.

ABSTRACT:

Background

Cesarean delivery remains the most common obstetrical procedure with more than 250,000 patients in the US undergoing cesarean following labor induction annually. Here, we evaluated the impact of prospectively implementing a standardized labor induction protocol on cesarean delivery rates.

Methods

This multi-site type I hybrid effectiveness-implementation study compared 2 years before (PRE) and 2 years after (POST) implementation of a standardized labor induction protocol at two hospitals within the University of Pennsylvania Health System (2018-2022). The protocol included multiple components and recommended active management of labor induction, including frequent cervical examinations, amniotomy if cervical exam ≥4 cm, and interventions for labor dystocia. The pr

SUBMITTER: Hamm RF 

PROVIDER: S-EPMC11683308 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature