{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Taylor B"],"funding":["National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West Midlands","Medical Research Council"],"pagination":["e0297857"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10901341"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["19(2)"],"pubmed_abstract":["<h4>Objectives</h4>To explore local induction of labour pathways in the UK National Health Service to provide insight into current practice.<h4>Design</h4>National survey.<h4>Setting</h4>Hospital maternity services in all four nations of the UK.<h4>Sample</h4>Convenience sample of 71 UK maternity units.<h4>Methods</h4>An online cross-sectional survey was disseminated and completed via a national network of obstetrics and gynaecology specialist trainees (October 2021-March 2022). Results were analysed descriptively, with associations explored using Fisher's Exact and ANOVA.<h4>Main outcome measures</h4>Induction rates, criteria, processes, delays, incidents, safety concerns.<h4>Results</h4>54/71 units responded (76%, 35% of UK units). Induction rate range 19.2%-53.4%, median 36.3%. 72% (39/54) had agreed induction criteria: these varied widely and were not all in national guidance. Multidisciplinary booking decision-making was not reported by 38/54 (70%). Delays reported 'often/always' in hospital admission for induction (19%, 10/54) and Delivery Suite transfer once induction in progress (63%, 34/54). Staffing was frequently reported cause of delay (76%, 41/54 'often/always'). Delays triggered incident reports in 36/54 (67%) and resulted in harm in 3/54 (6%). Induction was an area of concern (44%, 24/54); 61% (33/54) reported induction-focused quality improvement work.<h4>Conclusions</h4>There is substantial variation in induction rates, processes and policies across UK maternity services. Delays appear to be common and are a cause of safety concerns. With induction rates likely to increase, improved guidance and pathways are critically needed to improve safety and experience of care."],"journal":["PloS one"],"pubmed_title":["Induction of labour care in the UK: A cross-sectional survey of maternity units."],"pmcid":["PMC10901341"],"funding_grant_id":["970014","MR/N022556/1"],"pubmed_authors":["Kenyon S","UK Audit and Research Collaborative in Obstetrics and Gynaecology (UKARCOG) Members","Taylor B","Quinn L","Morad S","Davidson L","Johnston T","Cross-Sudworth F","Morris RK","Rimmer M"],"additional_accession":[]},"is_claimable":false,"name":"Induction of labour care in the UK: A cross-sectional survey of maternity units.","description":"<h4>Objectives</h4>To explore local induction of labour pathways in the UK National Health Service to provide insight into current practice.<h4>Design</h4>National survey.<h4>Setting</h4>Hospital maternity services in all four nations of the UK.<h4>Sample</h4>Convenience sample of 71 UK maternity units.<h4>Methods</h4>An online cross-sectional survey was disseminated and completed via a national network of obstetrics and gynaecology specialist trainees (October 2021-March 2022). Results were analysed descriptively, with associations explored using Fisher's Exact and ANOVA.<h4>Main outcome measures</h4>Induction rates, criteria, processes, delays, incidents, safety concerns.<h4>Results</h4>54/71 units responded (76%, 35% of UK units). Induction rate range 19.2%-53.4%, median 36.3%. 72% (39/54) had agreed induction criteria: these varied widely and were not all in national guidance. Multidisciplinary booking decision-making was not reported by 38/54 (70%). Delays reported 'often/always' in hospital admission for induction (19%, 10/54) and Delivery Suite transfer once induction in progress (63%, 34/54). Staffing was frequently reported cause of delay (76%, 41/54 'often/always'). Delays triggered incident reports in 36/54 (67%) and resulted in harm in 3/54 (6%). Induction was an area of concern (44%, 24/54); 61% (33/54) reported induction-focused quality improvement work.<h4>Conclusions</h4>There is substantial variation in induction rates, processes and policies across UK maternity services. Delays appear to be common and are a cause of safety concerns. With induction rates likely to increase, improved guidance and pathways are critically needed to improve safety and experience of care.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024","modification":"2026-06-28T03:10:11.146Z","creation":"2025-04-05T21:49:33.532Z"},"accession":"S-EPMC10901341","cross_references":{"pubmed":["38416750"],"doi":["10.1371/journal.pone.0297857"]}}