Reducing caesarean section rates in Robson groups 1 and 3: a quality improvement initiative in a private Brazilian hospital.

ABSTRACT: Private Brazilian hospitals have one of the highest caesarean section (CS) rates in the world. Caesareans may have short- and long-term implications for the health of mothers and babies. The primary objective of this project was to assess the effects of an intrapartum quality improvement (QI) initiative on CS rates and on maternal/perinatal outcomes. A bundle targeted at internal healthcare providers (HCP) on-duty in the labour and delivery (LD) ward of a private Brazilian hospital was created in 2020 (first period) and implemented in 2021-2022 (second period). External HCPs managing their own private patients served as a control group. The bundle focused on improving intrapartum care in women without previous CS in spontaneous labour with single cephalic pregnancies at term (Robson groups

SUBMITTER: Kondo MM 

PROVIDER: S-EPMC11881182 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature