Joshua P Vogel, Yeshita Pujar, Sunil S Vernekar, Elizabeth Armari, Veronica Pingray, Fernando Althabe, Luz Gibbons, Mabel Berrueta, Manjunath Somannavar, Alvaro Ciganda, Rocio Rodriguez, Savitri Bendigeri, Jayashree Ashok Kumar, Shruti Bhavi Patil, Aravind Karinagannanavar, Raveendra R Anteen, Pavithra Mallappa Ramachandrappa, Shukla Shetty, Latha Bommanal, Megha Haralahalli Mallesh, Suman S Gaddi, Shaila Chikkagowdra, Bellara Raghavendra, Caroline S E Homer, Tina Lavender, Pralhad Kushtagi, G Justus Hofmeyr, Richard Derman, Shivaprasad Goudar
Cesarean section rates worldwide are rising, driven by medically unnecessary cesarean use. The new World Health Organization Labour Care Guide (LCG) aims to improve the quality of care for women during labor and childbirth. Using the LCG might reduce overuse of cesarean; however, its effects have not been evaluated in randomized trials. We conducted a stepped-wedge, cluster-randomized pilot trial in four hospitals in India to evaluate the implementation of an LCG strategy intervention, compared with routine care...
February 2024: Nature Medicine