Presenter Information

Naviah SooFollow

Start Date

22-3-2019 10:00 AM

End Date

22-3-2019 11:30 AM

Description

ABSTRACT

Background: The rate of cesarean has significantly increased over the last decade with labor dystocia being the most common indicator for primary cesarean deliveries. This diagnosis was of labor dystocia was first established in the 1950’s by Emmanual A. Friedman. Due to the stark rise in cesareans, a landmark paper by Zhang challenged his definition of labor dystocia and changed the cesarean guidelines by adjusting the parameters that defined labor dystocia. In 2014, American College of Obstetricians and Gynecologists (ACOG) introduced these new guidelines with the aim of reducing the rate of cesareans.

Objective: The purpose of this integrative review is to review whether these new guidelines have impacted the rate of cesarean and to investigate if staff at hospitals have implemented these guideline.

Methods: This integrative review utilized the Whittemore & Knafl’s (2005) steps of data reduction, display, and comparison to organize and synthesize the data.

Conclusion: This integrative review aims to examine the effectiveness and practicality of the new ACOG cesarean guidelines and to find ways to further improve upon it.

Keywords: labor dystocia, cesarean, ACOG, guidelines, highly reliable organizations

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Mar 22nd, 10:00 AM Mar 22nd, 11:30 AM

Labor Dystocia: Review of New ACOG Cesarean Guidelines

ABSTRACT

Background: The rate of cesarean has significantly increased over the last decade with labor dystocia being the most common indicator for primary cesarean deliveries. This diagnosis was of labor dystocia was first established in the 1950’s by Emmanual A. Friedman. Due to the stark rise in cesareans, a landmark paper by Zhang challenged his definition of labor dystocia and changed the cesarean guidelines by adjusting the parameters that defined labor dystocia. In 2014, American College of Obstetricians and Gynecologists (ACOG) introduced these new guidelines with the aim of reducing the rate of cesareans.

Objective: The purpose of this integrative review is to review whether these new guidelines have impacted the rate of cesarean and to investigate if staff at hospitals have implemented these guideline.

Methods: This integrative review utilized the Whittemore & Knafl’s (2005) steps of data reduction, display, and comparison to organize and synthesize the data.

Conclusion: This integrative review aims to examine the effectiveness and practicality of the new ACOG cesarean guidelines and to find ways to further improve upon it.

Keywords: labor dystocia, cesarean, ACOG, guidelines, highly reliable organizations

 

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