dc.creatorSeijmonsbergen-Schermers, Anna
dc.creatorde Jonge, Ank
dc.creatorvan den Akker, Thomas
dc.creatorBeeckman, Katrien
dc.creatorBogaerts, Annick
dc.creatorBarros, Monalisa
dc.creatorJanssen, Patricia
dc.creatorBinfa Esbir, Lorena
dc.creatorRydahl, Eva
dc.creatorFrith, Lucy
dc.creatorGross, Mechthild
dc.creatorHalfdansdottir, Berglind
dc.creatorDaly, Deirdre
dc.creatorCalleja-Agius, Jean
dc.creatorGillen, Patricia
dc.creatorNilsen, Anne Britt Vika
dc.creatorDeclercq, Eugene
dc.date.accessioned2018-10-08T16:07:53Z
dc.date.accessioned2019-04-26T01:52:29Z
dc.date.available2018-10-08T16:07:53Z
dc.date.available2019-04-26T01:52:29Z
dc.date.created2018-10-08T16:07:53Z
dc.date.issued2018-01
dc.identifierBMJ Open 2018;8:e017993
dc.identifier10.1136/bmjopen-2017-017993
dc.identifierhttp://repositorio.uchile.cl/handle/2250/152022
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/2456023
dc.description.abstractIntroduction 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.languageen
dc.publisherBMJ Publishing Group
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Chile
dc.sourceBMJ Open
dc.subjectCesarean-section
dc.subjectObstetric interventions
dc.subjectMaternal mortality
dc.subjectPregnancy outcomes
dc.subjectPerinatal health
dc.subjectLatin-America
dc.subjectUnited-States
dc.subjectGlobal survey
dc.subjectLow-risk
dc.subjectRates
dc.titleVariations in childbirth interventions in high-income countries: protocol for a multinational cross-sectional study
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución