Objective To review the IOL pathway by a multi-disciplinary team in March 2011 using BICS as the number of IOLs was anticipated to increase from 900 to 1500 due to merging with 2 neighbouring units.
Findings Inconsistency in practice in offering membrane sweep
Inconsistency in dates for IOL for postdates
No information leaflet for IOL
Difficult to obtain slot in IOL dairy (6 spaces on weekdays and 2 on weekend)
Delays in prescription of Propess
Actions Offer membrane sweeps to nulliparous women at 40 weeks and to all women at 41 weeks (NICE recommendation)
IOL for postdates ≥ term + 11 days
Design IOL leaflet
Update IOL guideline
Check IOL diary daily to free slots by removing delivered women
Patient Group Directive for Propess for midwives
Conclusion There was improvement in the IOL pathway with decreased delays and more spaces in IOL dairy. There was decrease in % of IOL for postdates, increase in membrane sweeps offered and increase in IOL after ≥ term + 11. However, there was decrease in vaginal delivery, instrumental delivery rate and increase in section rate.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.