PT  - JOURNAL ARTICLE
AU  - Wong, S
AU  - Moss, R
AU  - Tomlinson, AJ
AU  - Katakam, N
TI  - Streamlining induction of labour (IOL) pathway using Bolton improving care system (BICS) at royal Bolton hospital (RBH)
AID  - 10.1136/fetalneonatal-2012-301809.394
DP  - 2012 Apr 01
TA  - Archives of Disease in Childhood - Fetal and Neonatal Edition
PG  - A121--A121
VI  - 97
IP  - Suppl 1
4099  - http://fn.bmj.com/content/97/Suppl_1/A121.1.short
4100  - http://fn.bmj.com/content/97/Suppl_1/A121.1.full
SO  - Arch Dis Child Fetal Neonatal Ed2012 Apr 01; 97
AB  - 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. View this table:Abstract PP.49 Table