- Briefly describe a specific question, or set of related questions, about a health care test or treatment that this program should consider.
1.In pregnant women what is the relative effectiveness of available methods for cervical ripening in reducing the duration of labor and rate of failed induction2.In pregnant women what are the potential complications with each method of cervical ripening3.In pregnant women what is the most effective method and dosage for administering prostaglandins4.In pregnant women what are the most effective methods for fetal surveillance after prostaglandin use5.In pregnant women seeking induction of labor in an outpatient setting are cervical ripening methods effective and safe6.In pregnant women with induced labor what are the potential complications with each method7.In pregnant women given oxytocin for induced labor what is the most effective dosage and what precautions should be taken8.In pregnant women with ruptured membranes what are the harms for inducing labor 9.In pregnant women with intrauterine fetal demise in the late second or third trimester what methods for induction of labor are most effective at limiting maternal complicationsRelevant patients include pregnant women seeking induction of labor pregnant women with ruptured membranes pregnant women with intrauterine fetal demise.We are interested in improving maternal and fetal complications from induction of labor.
- Describe why this topic is important.
This topic is important because induction of labor has merit as a therapeutic option when the benefits of expeditious delivery outweigh the risks of continuing the pregnancy. There are a variety of ways to manage induction of labor and a variety of complications that need to be considered in a systematic review to be able to provide clinicians with the tools to weigh the benefits and harms of each method.
- How will an answer to your research question be used or help inform decisions for you or your group?
Clinicians will be more equipped to make appropriate management decisions for women seeking induced labor based on the needs of the individual patient resources and limitations unique to the institution or type of practice. Recommendations based on the systematic review will be used by clinicians to optimize the success of induction of labor.
- Other Information About You: (optional)
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- Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
- Professional society
- If you are you making a suggestion on behalf of an organization, please state the name of the organization
- American College of Obstetricians and Gynecologists
- Please tell us how you heard about the Effective Health Care Program
- Stephanie Chang MD MPH Agency for Healthcare Research and Quality
