ArticleJournal of nursing management2026
The Impact of Implementing an Evidence-Based Intrapartum Care Quality Improvement Program on Childbirth Outcomes for Laboring Women: An Interrupted Time-Series Analysis.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- The Impact of Implementing an Evidence-Based Intrapartum Care Quality Improvement Program on Childbirth Outcomes for Laboring Women: An Interrupted Time-Series Analysis.Journal of nursing management · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo evaluate the impact of implementing an evidence-based intrapartum care quality improvement program on childbirth outcomes for laboring women.
methodsA quasiexperimental interrupted time series (ITS) study using routinely collected hospital data was conducted at the Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The study period spanned from November 1, 2021, to December 31, 2022, with a 4-month preparation phase (April 1, 2022, to July 31, 2022) excluded from analysis. A total of 422 women were included (211 preintervention and 211 postintervention), aggregated into 20 biweekly time points (10 preintervention and 10 postintervention). Key measures included intrapartum cesarean section (ICS) rates, oxytocin use, duration of labor, and childbirth experience scores. Sociodemographic and clinical data were extracted from routine records, and childbirth experience was assessed using the Childbirth Experience Questionnaire (CEQ 2.0).
resultsPrior to the intervention, the ICS rate increased by 2.057% per biweekly time point (p = 0.015). After implementation, the ICS rate showed a decreasing trend, with a slope reduction of 2.782% compared with the preintervention trend (p = 0.018), resulting in an overall postintervention slope of -0.725% per biweekly time point. The estimated contribution of the intervention to ICS reduction was -22.69%. Compared with the preintervention group, women in the intervention phase had lower oxytocin use (71.09% vs. 80.09%, p < 0.05), shorter total labor duration (median 456.5 min [265.0-602.5] vs. 472.5 min [280.0, 670.0], p < 0.05), and higher childbirth experience scores (72.23 ± 9.76 vs. 69.27 ± 8.84, p < 0.05). CONCLUSION AND IMPLICATIONS FOR NURSING MANAGEMENT: This quality improvement program effectively optimized intrapartum care through reduced medical interventions and enhanced childbirth experiences. Successful scaling up requires institutional commitment to midwifery continuity models, context-adaptive implementation strategies, and sustained investment in midwifery training and outcome monitoring systems to ensure equitable and woman-centered care delivery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.