[Promising measures to reduce the use of avoidable obstetrical interventions with low-risk women]
L'Institut national d'excellence en sante et en services sociaux (INESSS)
Record ID 32012000858
French
Authors' objectives:
The first objective of this study was to retrieve, assess and synthesize the scientific evidence supporting the concept of "avoidable intervention," defined as a procedure that can be replaced with a less invasive option, including no intervention, and that yields comparable outcomes in terms of quality of care and maternal and perinatal health. The second objective was to submit this evidence to obstetric practitioners for review in order to identify measures and courses of action aimed at reducing the number of avoidable obstetrical interventions in Québec.
Authors' recommendations:
Upon completing this work, INESSS, backed by scientific evidence and the opinions of experts and partners in obstetric care, finds that physiological or vaginal birth for women with low-risk pregnancies seems desirable. This report proposes 10 general measures, 19 measures related to the five obstetrical interventions covered in this report, and 37 possible courses of action to reduce avoidable procedures in women with low-risk pregnancies. These measures do not replace the existing practice guidelines. INESSS recommends that the MSSS should invite organizations representing women, obstetric care providers, concerned professional organizations and obstetric teaching institutions to jointly develop, on the basis of the proposed measures, an action plan for reducing avoidable obstetrical procedures in Québec from the perspective of reaching informed and shared decisions with women.
Details
Project Status:
Completed
Year Published:
2012
URL for published report:
http://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/ObstetriqueGynecologie/ETMIS_2012_Vol8_No14.pdf
URL for additional information:
http://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/ObstetriqueGynecologie/INESSS_Summary_ObstetricalInterventions_EN.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Pregnancy
- Risk Factors
Contact
Organisation Name:
Institut national d'excellence en sante et en services sociaux
Contact Address:
L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name:
demande@inesss.qc.ca
Contact Email:
demande@inesss.qc.ca
Copyright:
L'Institut national d'excellence en sante et en services sociaux (INESSS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.