In the Netherlands, more and more women are giving birth by caesarean. This study shows that the guidelines that determine when to perform a caesarean are not always followed. Interestingly, the guidelines governing the type of delivery after a prior caesarean are only followed 15% of the time. Moreover, major differences exist between hospitals, often independent of patient characteristics. It can therefore be concluded that local policies are largely determined based on the opinions of individual healthcare providers and hospital policies. A decision-making tool has been developed to improve the quality of care. Gynaecologists can use this tool in the examination room to make the best decision in consultation with the patient about the type of delivery: a natural birth or a caesarean.
|Qualification||Doctor of Philosophy|
|Award date||23 Jun 2015|
|Place of Publication||‘s-Hertogenbosch|
|Publication status||Published - 2015|
- quality of care