A systematic review on the effectiveness of implementation strategies to postpone elective caesarean sections to ≥ 39 + (0–6) weeks of gestation

ConclusionThis systematic review shows that all presented implementation strategies to reduce elective caesarean section before 39 + (0 –6) weeks of gestation are effective. Reduction rates differ widely and it remains unclear which strategy is most successful. Strategies used locally in one hospital seem a little more effective. Included studies are either before-after studies (8) or interrupted time series (2) and the overall qu ality of the evidence is rather low. However, most of the studies identified specific barriers in the implementation process. For planning an implementation strategy to reduce elective caesarean section before 39 + (0–6) weeks of gestation, it is necessary to consider specific barriers and facilit ators and take all obstetric personal into account.Systematic review registrationPROSPEROCRD42017078231
Source: Systematic Reviews - Category: International Medicine & Public Health Source Type: research