Leadership Driven Persistent Reduction in Cesarean Trends: An Interventional Study for Quality Improvement.

Arpita De, Reva Tripathi, Neha Gupta, Aruna Nigam, Arifa Anwar

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In one paragraph

Article in Journal of obstetrics and gynaecology of India, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Arpita DeDepartment of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, Hamdard Nagar, New Delhi, India.ORCID 0000-0003-1098-6857

Reva TripathiDepartment of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, Hamdard Nagar, New Delhi, India.

Neha GuptaDepartment of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, Hamdard Nagar, New Delhi, India.

Aruna NigamDepartment of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, Hamdard Nagar, New Delhi, India.

Arifa AnwarDepartment of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research (HIMSR), Jamia Hamdard, Hamdard Nagar, New Delhi, India.

Jamia Hamdard · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This is a quality improvement study in North India undertaken to observe the efficacy and safety of a proposed set of interventions along Quality Improvement guidelines to reduce cesarean rates. Materials and Methods: It was a retrospective cross-sectional study conducted in New Delhi. Measures were iteratively introduced from 2017 and improved using multiple PDSA (Plan, Do, Study, Act) cycles to note the overall reduction in cesarean rates. Chi square tests were done with subanalysis based on the Robsons classification. Results: There was a significant reduction of annual cesarean rates from 36.35 to 22.87% over four years ( Conclusion: Devising multipronged interventions and their implementation through PDSA cycles are essential. Such measures in moderate resources are replicable elsewhere as well.

Indexed as

Cesraean auditQuality improvement in obstetricsRobsons TGCS

Identifiers

PMID36879945

DOI10.1007/s13224-022-01710-2

PMCPMC9984660

OpenAlexW4296188716

What OpenQuestion holds

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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.