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Patient education to reduce elective labor inductions
Kathleen Rice Simpson1, Gloria Newman, Octavio R Chirino
1Women's and Children's Education, Department of Obstetrics and Gynecology, St. John's Mercy Medical Center, St. Louis, MO, USA. KRSimpson@prodigy.net
MCN. the American Journal of Maternal Child Nursing
|June 30, 2010
Summary
Standardized education on induction risks in childbirth classes reduced elective inductions for nulliparous women who attended. Patient education is key to informed decisions about labor induction.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Health Education
Background:
- Elective induction of labor is a common practice.
- Informed decision-making regarding labor induction is crucial for nulliparous women.
- Community hospitals aim to optimize childbirth practices.
Purpose of the Study:
- To decrease elective inductions in nulliparous women.
- To evaluate the impact of standardized education on induction risks within childbirth classes.
Main Methods:
- A comparative study analyzing elective induction rates.
- Comparison between class attendees and non-attendees before and after educational intervention.
- Survey data collected on women's decisions regarding elective induction.
Main Results:
- After education, class attendees had significantly lower elective induction rates (27.9%) compared to non-attendees (37%).
- Sixty-three percent of women who attended classes and avoided elective induction cited the classes as influential.
- Physician offers of elective induction significantly impacted women's decisions.
Conclusions:
- Childbirth education incorporating induction risks is associated with reduced elective inductions.
- Patient education can empower nulliparous women to make informed choices about labor induction.
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