Evidence-based obstetrics in four hospitals in China An observational study to explore clinical practice, womens preferences and providers views.docVIP

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Evidence-based obstetrics in four hospitals in China An observational study to explore clinical practice, womens preferences and providers views.doc

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Evidence-based obstetrics in four hospitals in China An observational study to explore clinical practice, womens preferences and providers views

BMCPregnancyandChildbirth(2001)1:1 /1471-2393/1/1 BMCReseaPregnancyrch articleand Childbirth (2001) 1:1 Evidence-based obstetrics in four hospitals in China: An observational study to explore clinical practice, womens preferences and providers views Xu Qian*1, Helen Smith2, Li Zhou1, Ji Liang1 and Paul Garner2 Address: 1Department of Maternal and Child Health, Fudan University School of Public Health, 138 Yi Xue Yuan Road, Shanghai 200032, P.R.China and 2International Health Division, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK E-mail: Xu Qian* - xqian@; Helen Smith - cjdhel@liv.ac.uk; Li Zhou - xqian@; Ji Liang - xqian@; Paul Garner - pgarner@liv.ac.uk *Corresponding author Published: 16 May 2001 Received: 6 April 2001 Accepted: 16 May 2001 BMC Pregnancy and Childbirth 2001, 1:1 This article is available from: /1471-2393/1/1 (c) 2001 Qian et al, licensee BioMed Central Ltd. Abstract Background: Evidence-based obstetric care is widely promoted in developing countries, but the success of implementation is not known. Using selected childbirth care procedures in four hospitals in Shanghai, we compared practice against evidence-based information, and explored user and provider views about each procedure. Methods: Observational study. Using the Cochrane Library, we identified six procedures that should be avoided as routine and two that should be encouraged. Procedure rate determined by exit interviews with women, verified using hospital notes. Views of women and providers explored with in depth interviews. The study sites were three hospitals in Shanghai and one in neighbouring province of Jiangsu. 150 women at each centre for procedure rate, and 48 in-depth interviews with women and providers. Results: Vaginal births were 50% (303/599) of the total. Of the six practices where evidence suggests they should be avoided as routine, three were performed with rates above 70%: pubic shaving (3 hospita