Rationalised limitation of labour inductions reverses a rising trend of caesarean section rate

Abstract

Because of a rising trend of caesarean section (CS) rate in Ziekenhuis Oost Limburg (ZOL) in Genk Belgium, an audit was performed in 2007 using the Robson classification in 10 groups (Table 1). After this, labour induction in term cephalic singleton pregnancies was identified as the most important responsible factor of the rise in CS rate. In 2008, a rationalised change of labour management was introduced by concentrating on the correct diagnosis of labour and reducing non-medical inductions in term singleton pregnancies without a scar.

This study aims to evaluate the impact on CS rate of rationalised change of labour ward management.