Organization

Montfort Hospital

Category

Year

This practice aims to reduce the proportion of inductions in women for whom an indication of postdate pregnancy at less than 41 weeks of gestation has been noted in the clinical record. This can become a monitoring strategy that supports the obstetrical team at the Centre familial de naissance (CFN) [Family Birth Center] at Montfort Hospital. This practice requires continual supervision and serves as a safety net for the well-being of the mother and the newborn.  According to the Société des obstétriciens et gynécologues du Canada [The Society of Obstetricians and Gynaecologists of Canada] (SOGC), induction at less than 41 weeks of gestation poses risks such as the inability to start labour, operative vaginal deliveries, uterine ruptures, caesarean sections and neonatal morbidities.

The practice derives from the provincial mandate to meet the sixth quality indicator of BORN (Better Outcomes Registry & Network) Ontario and of the AMPRO (Approche multidisciplinaire en prévention des risques obstétricaux Multidisciplinary Approach to Obstetric Risk Prevention) program, in which Montfort Hospital has participated since 2008 with the aim of adopting best practices.  The practice follows priorities for inductions starting with a policy in force since July 2006 and an innovative strategy.  Inductions performed at less than 41 weeks of gestation are thus avoided unless there are maternal or fetal concerns or indications.

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