ArticleBJOG : an international journal of obstetrics and gynaecology2018
Developing a set of consensus indicators to support maternity service quality improvement: using Core Outcome Set methodology including a Delphi process.
Article in BJOG : an international journal of obstetrics and gynaecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Core Outcome Sets (COS) related to pregnancy and childbirth: a systematic review.BMC pregnancy and childbirth · 2021Pooled it
- Monitoring childbirth and immediate postpartum care quality: A scoping review of indicators in high-income countries.PloS one · 2026Article
- Development and Content of Core Outcome Sets in Neonatology-A Scoping Review.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Quality indicators for rural surgical and obstetrical care: A modified Delphi consensus study.PloS one · 2025Article
- A Framework for Assessing the Impact of Outbreak Response Immunization Programs.Diseases (Basel, Switzerland) · 2024Article
- The development of a core outcome set for studies of pregnant women with multimorbidity.BMC medicine · 2023Article
- Quality Indicators during Delivery and the Immediate Postpartum Period: A Modified Delphi Study.Healthcare (Basel, Switzerland) · 2023Article
- Developing and testing a protocol using a common data model for federated collection and analysis of national perinatal health indicators in Europe.Open research Europe · 2023Article
- Dashboards in Health Care Settings: Protocol for a Scoping Review.JMIR research protocols · 2022Article
- Using Robson's Ten-Group Classification System for comparing caesarean section rates in Europe: an analysis of routine data from the Euro-Peristat study.BJOG : an international journal of obstetrics and gynaecology · 2021Observational
- A national consensus management pathway for paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS): results of a national Delphi process.The Lancet. Child & adolescent health · 2021Review
- Hospital discharge data is not accurate enough to monitor the incidence of postpartum hemorrhage.PloS one · 2021Article
- Applicability of care quality indicators for women with low-risk pregnancies planning hospital birth: a retrospective study of medical records.Scientific reports · 2020Article
- Article
- Developing a set of consensus indicators to support maternity service quality improvement: using Core Outcome Set methodology including a Delphi process.BJOG : an international journal of obstetrics and gynaecology · 2018Article
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5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo develop a core metric set to monitor the quality of maternity care.
designDelphi process followed by a face-to-face consensus meeting.
settingEnglish maternity units. POPULATION: Three representative expert panels: service designers, providers and users.
main outcome measuresMaternity care metrics judged important by participants.
methodsParticipants were asked to complete a two-phase Delphi process, scoring metrics from existing local maternity dashboards. A consensus meeting discussed the results and re-scored the metrics.
resultsIn all, 125 distinct metrics across six domains were identified from existing dashboards. Following the consensus meeting, 14 metrics met the inclusion criteria for the final core set: smoking rate at booking; rate of birth without intervention; caesarean section delivery rate in Robson group 1 women; caesarean section delivery rate in Robson group 2 women; caesarean section delivery rate in Robson group 5 women; third- and fourth-degree tear rate among women delivering vaginally; rate of postpartum haemorrhage of ≥1500 ml; rate of successful vaginal birth after a single previous caesarean section; smoking rate at delivery; proportion of babies born at term with an Apgar score <7 at 5 minutes; proportion of babies born at term admitted to the neonatal intensive care unit; proportion of babies readmitted to hospital at <30 days of age; breastfeeding initiation rate; and breastfeeding rate at 6-8 weeks.
conclusionsCore outcome set methodology can be used to incorporate the views of key stakeholders in developing a core metric set to monitor the quality of care in maternity units, thus enabling improvement. TWEETABLE ABSTRACT: Achieving consensus on core metrics for monitoring the quality of maternity care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.