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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2020

01-12-2020 | Sectio Ceasarea | Research article

Lithuania’s experience in reducing caesarean sections among nulliparas: the impact of the quality improvement course

Authors: Justina Kacerauskiene, Meile Minkauskiene, Tahir Mahmood, Egle Bartuseviciene, Dalia R. Railaite, Arnoldas Bartusevicius, Mindaugas Kliucinskas, Laima Maleckiene, Jonas Ulevicius, Laura Liubiniene, Kastytis Smigelskas, Kornelija Maciuliene, Grazina Drasutiene, Diana Ramasauskaite, Ruta J. Nadisauskiene

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

To evaluate the role of the quality improvement course (QIC) to reduce the caesarean section (CS) rate among nulliparas (Robson groups 1 and 2) and to find out which group of women have reduced the CS rate following attendance at the course.

Methods

The QIC was organized in 2015. For the evaluation of the CS rate after the OIC, deliveries from the selected hospitals in 2014 and 2016 were compared using MS EXCEL and SPSS 23.0.

Results

Nulliparas accounted for 44.6% (3585/8046) and 42.9% (3628/8460) of all the deliveries in 2014 and 2016 years, respectively. The CS rate among nulliparas decreased from 19.0% (665/3502) in 2014 to 16.8% (593/3526) in 2016 (p = 0.018). The greatest decrease in absolute contribution to the overall CS rate was recorded in group 1 (p = 0.08). Perinatal mortality was 3.1 in 2014 and 3.9 in 2016 per 1000 deliveries (p = 0.569).

Conclusion

The QIC has helped to reduce the CS rate among nulliparas without a negative influence on perinatal mortality. The greatest decrease in the overall CS rate was recorded among nulliparous women who were treated with oxytocin and managed to reach a full cervical dilatation.
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Metadata
Title
Lithuania’s experience in reducing caesarean sections among nulliparas: the impact of the quality improvement course
Authors
Justina Kacerauskiene
Meile Minkauskiene
Tahir Mahmood
Egle Bartuseviciene
Dalia R. Railaite
Arnoldas Bartusevicius
Mindaugas Kliucinskas
Laima Maleckiene
Jonas Ulevicius
Laura Liubiniene
Kastytis Smigelskas
Kornelija Maciuliene
Grazina Drasutiene
Diana Ramasauskaite
Ruta J. Nadisauskiene
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-2806-5

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