Published eLetters
If you would like to comment on this article, click on Submit a Response to This article, below. We welcome your input.
Jump to comment:
- Page navigation anchor for RE: Commentary on ‘Culture That Facilitates Change: A Mixed Methods Study of Hospitals Engaged in Reducing Cesarean Deliveries’RE: Commentary on ‘Culture That Facilitates Change: A Mixed Methods Study of Hospitals Engaged in Reducing Cesarean Deliveries’
The purpose of this study was to identify the key differences between successful and nonresponder hospital labor and delivery units after participation in the Supporting Vaginal Birth initiative for 18 months. Successful hospitals were defined as those that were able to lower their cesarean delivery rate below 24% or by at least 5 percentage points. Nonresponder hospitals, or unsuccessful hospitals, maintained or even increased their cesarean delivery rate above 24%. The Supporting Vaginal Birth initiative was created by the California Maternal Quality Care Collaborative (CMQCC) to reduce the number of cesarean deliveries performed in hospitals. The hospitals included in the initiative had a starting cesarean rate of higher than 24%. The group discussed the importance of such an initiative due to the high cost of performing cesarean deliveries and the associated recovery, possibility for complications, and overall medical risk of the procedure.
The study focused on two domains identified by the consolidated framework for implementation research: inner setting and characteristics of individuals. These domains were evaluated used Labor Culture Surveys (LCS) and key informant interviews with labor and delivery unit leaders. The group discussed the advantage of this approach as it allowed for both quantitative and qualitative data to be obtained and compared. The LCS was completed by 37 participating hospitals with a multitude of labor and delivery roles represented. T...
Show MoreCompeting Interests: None declared.