Abstract (300 words maximum)
Background
An induction is the stimulation of labor in a pregnant woman, either through medicinal or other mechanical interventions, before labor has begun on its own. In current practice, elective induction generally has no or very soft medical indication, and is commonly performed for convenience. Labor induction rates have increased markedly over the past 30 years, with elective induction of labor (EIOL) numbers contributing heavily to these rates. Current research suggests a greater risk for adverse outcomes during labor and postpartum in EIOL vs spontaneous labor. The purpose of this project is to, in collaboration with the MD’s and Midwives, propose a cessation of non medically indicated elective inductions in order to examine to what extent the reduction has in decreasing adverse outcomes of neonatal birth, maternal labor, and obstetric interventions in labor as compared to current labor induction practices.
Literature Review
The birthing data from several studies shows trends in elective induction deliveries in low-risk women, and researchers found EIOL were associated with neonatal morbidities, vacuum deliveries, and increased risk of cesarean delivery. In another retrospective analysis of 311 women divided into either a spontaneous labor group or an induction group, the incidence of episiotomy, tearing, and tearing severity were significantly higher in the induction group.
Methods
The study will be performed in a local hospitals Labor and Delivery department, over 1 year and will consist of three parts. The first part will review and document the previous years delivery data on adverse outcomes for low risk, full term, spontaneous labor patients and elective induction patients. The next part will be implementing education to the patients and providers regarding the adverse labor outcomes of EIOL vs spontaneous labor, and implementation of stricter hospital guidelines for EIOL to significantly reduce the number of non medically indicated EIOL. The third part will be documenting and recording these spontaneous labor outcomes for 1 year.
Evaluation
Evaluation will include comparing the data of the previous year and the current year being examined to determine the effectiveness of decreasing EIOL in reducing adverse outcomes of labor.
Academic department under which the project should be listed
Nursing Department
Primary Investigator (PI) Name
Doreen Wagner
THE EFFECT OF ELECTIVE INDUCTION REDUCTION ON MATERNAL AND FETAL LABOR COMPLICATIONS AND HEALTH OUTCOMES
Background
An induction is the stimulation of labor in a pregnant woman, either through medicinal or other mechanical interventions, before labor has begun on its own. In current practice, elective induction generally has no or very soft medical indication, and is commonly performed for convenience. Labor induction rates have increased markedly over the past 30 years, with elective induction of labor (EIOL) numbers contributing heavily to these rates. Current research suggests a greater risk for adverse outcomes during labor and postpartum in EIOL vs spontaneous labor. The purpose of this project is to, in collaboration with the MD’s and Midwives, propose a cessation of non medically indicated elective inductions in order to examine to what extent the reduction has in decreasing adverse outcomes of neonatal birth, maternal labor, and obstetric interventions in labor as compared to current labor induction practices.
Literature Review
The birthing data from several studies shows trends in elective induction deliveries in low-risk women, and researchers found EIOL were associated with neonatal morbidities, vacuum deliveries, and increased risk of cesarean delivery. In another retrospective analysis of 311 women divided into either a spontaneous labor group or an induction group, the incidence of episiotomy, tearing, and tearing severity were significantly higher in the induction group.
Methods
The study will be performed in a local hospitals Labor and Delivery department, over 1 year and will consist of three parts. The first part will review and document the previous years delivery data on adverse outcomes for low risk, full term, spontaneous labor patients and elective induction patients. The next part will be implementing education to the patients and providers regarding the adverse labor outcomes of EIOL vs spontaneous labor, and implementation of stricter hospital guidelines for EIOL to significantly reduce the number of non medically indicated EIOL. The third part will be documenting and recording these spontaneous labor outcomes for 1 year.
Evaluation
Evaluation will include comparing the data of the previous year and the current year being examined to determine the effectiveness of decreasing EIOL in reducing adverse outcomes of labor.