Objective To evaluate the effectiveness of an educational visit to help obstetricians and midwives select and use evidence from a Cochrane database containing 600 systematic reviews.
Design Randomised single blind controlled trial with obstetric units allocated to an educational visit or control group.
Setting 25 of the 26 district general obstetric units in two former NHS regions.
Subjects The senior obstetrician and midwife from each intervention unit participated in educational visits.
Clinical practices of all staff were assessed in 4508 pregnancies.
Intervention Single informal educational visit by a respected obstetrician including discussion of evidence based obstetrics, guidance on implementation, and donation of Cochrane database and other materials.
Main outcome measures Rates of perineal suturing with polyglycolic acid, ventouse delivery, prophylactic antibiotics in caesarean section, and steroids in preterm delivery, before and 9 months after visits, and concordance of guidelines with review evidence for same marker practices before and after visits.
Results Rates varied greatly, but the overall baseline mean of 43% (986/2312) increased to 54% (1189/2196) 9 months later.
Rates of ventouse delivery increased significantly in intervention units but not in control units ; there was no difference between the two types of units in uptake of other practices. (...)
Mots-clés Pascal : Obstétrique, Pratique professionnelle, Analyse coût efficacité, Education santé, Organisation santé, Sage femme, Médecin, Homme, Femelle
Mots-clés Pascal anglais : Obstetrics, Professional practice, Cost efficiency analysis, Health education, Public health organization, Midwife, Physician, Human, Female
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0492167
Code Inist : 002B20G03. Création : 19/02/1999.