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Updated: Jul 18, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
[Elective Caesarean section team--an organizational innovation]
Anne Lene Bülow-Lehnsby1, Lene Grønbeck, Lone Krebs
1H:S Rigshospitalet, Juliane Marie Centret, Obstetrisk Klinik, København Ø. annelene@dadlnet.dk
Establishing an elective caesarean section team (EST) improved efficiency and user satisfaction in obstetrics. This organized approach to planned caesarean births benefits both patients and healthcare staff.
Area of Science:
- Obstetrics and Gynecology
- Healthcare Management
- Surgical Services
Background:
- Rising rates of caesarean sections necessitate optimized resource utilization in obstetrical and anesthesiology departments.
- The elective caesarean section team (EST) model was developed to enhance collaboration among healthcare professionals and streamline planned caesarean deliveries.
- This organizational strategy was implemented at Rigshospitalet and Hvidovre Hospital to improve efficiency.
Purpose of the Study:
- To describe the implementation process of the elective caesarean section team (EST).
- To analyze the organizational implications of establishing the EST.
- To evaluate user satisfaction with the EST model.
Main Methods:
- Case records of all caesarean sections performed by the EST at Rigshospitalet and Hvidovre Hospital in 2004 were reviewed.
- User satisfaction was assessed through questionnaires administered to patients during a two-month period prior to planned discharge.
Main Results:
- A significant majority of patients (60.5%) were discharged within two days post-procedure.
- User evaluations indicated a high level of satisfaction with the EST care model.
- The EST approach demonstrated a positive impact on patient experience and resource management.
Conclusions:
- The implementation of the elective caesarean section team (EST) has demonstrably increased organizational efficiency for planned caesarean sections.
- The EST model has resulted in high satisfaction rates among patients.
- The collaborative team structure provides significant educational benefits for healthcare staff involved in caesarean deliveries.
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