At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United Kingdom
Recent reviews into maternity safety in the United Kingdom (UK) have led to a paradigm shift in culture and policy around caesarean section (CS) rate monitoring. CS rates in the UK have risen considerably over the last few decades and, in this time, there has been national effort at the level of gov...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Journal of Obstetrics and Gynaecology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/01443615.2024.2320840 |
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| author | Oguljemal Redjepova Ashwini Bilagi |
| author_facet | Oguljemal Redjepova Ashwini Bilagi |
| author_sort | Oguljemal Redjepova |
| collection | DOAJ |
| description | Recent reviews into maternity safety in the United Kingdom (UK) have led to a paradigm shift in culture and policy around caesarean section (CS) rate monitoring. CS rates in the UK have risen considerably over the last few decades and, in this time, there has been national effort at the level of government to kerb such rises due to concerns about the associated morbidity, and the medicalisation of birth. However, recent findings from two landmark reviews raise concerns that the pursuit of low CS rates may have caused harm to patients in some instances, and this has led the UK government to recommend cessation of the use of total CS rates as performance metric for maternity services. Instead, it is proposed that such data be collected with use of the Robson classification. Ongoing appraisal of maternity safety will be required to evaluate the effect of these changes in future. |
| format | Article |
| id | doaj-art-096d9e37881b48b0bd6cb91047cde73d |
| institution | Kabale University |
| issn | 0144-3615 1364-6893 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Obstetrics and Gynaecology |
| spelling | doaj-art-096d9e37881b48b0bd6cb91047cde73d2025-01-09T12:13:17ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2320840At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United KingdomOguljemal Redjepova0Ashwini Bilagi1Sandwell and West Birmingham Hospitals NHS Foundation Trust, City Hospital, Birmingham, UKSandwell and West Birmingham Hospitals NHS Foundation Trust, City Hospital, Birmingham, UKRecent reviews into maternity safety in the United Kingdom (UK) have led to a paradigm shift in culture and policy around caesarean section (CS) rate monitoring. CS rates in the UK have risen considerably over the last few decades and, in this time, there has been national effort at the level of government to kerb such rises due to concerns about the associated morbidity, and the medicalisation of birth. However, recent findings from two landmark reviews raise concerns that the pursuit of low CS rates may have caused harm to patients in some instances, and this has led the UK government to recommend cessation of the use of total CS rates as performance metric for maternity services. Instead, it is proposed that such data be collected with use of the Robson classification. Ongoing appraisal of maternity safety will be required to evaluate the effect of these changes in future.https://www.tandfonline.com/doi/10.1080/01443615.2024.2320840Caesarean sectionrateOckendenmaternity safetyRobson classification |
| spellingShingle | Oguljemal Redjepova Ashwini Bilagi At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United Kingdom Journal of Obstetrics and Gynaecology Caesarean section rate Ockenden maternity safety Robson classification |
| title | At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United Kingdom |
| title_full | At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United Kingdom |
| title_fullStr | At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United Kingdom |
| title_full_unstemmed | At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United Kingdom |
| title_short | At any cost: a paradigm shift in the culture of caesarean section rate monitoring in the United Kingdom |
| title_sort | at any cost a paradigm shift in the culture of caesarean section rate monitoring in the united kingdom |
| topic | Caesarean section rate Ockenden maternity safety Robson classification |
| url | https://www.tandfonline.com/doi/10.1080/01443615.2024.2320840 |
| work_keys_str_mv | AT oguljemalredjepova atanycostaparadigmshiftinthecultureofcaesareansectionratemonitoringintheunitedkingdom AT ashwinibilagi atanycostaparadigmshiftinthecultureofcaesareansectionratemonitoringintheunitedkingdom |