Quality statement 4: Consultant obstetrician involvement in decision-making for planned caesarean section

Quality statement 4: Consultant obstetrician involvement in decision-making for planned caesarean section

Quality statement

Pregnant women who may require a planned caesarean section have consultant involvement in decision-making.

Rationale

Consultant obstetricians are best placed to advise a woman who may need or want to plan a caesarean section about the potential benefits and risks for each option based on their specific circumstances and needs. The involvement of a consultant is intended to ensure that the best possible outcomes are achieved for the woman and the baby.

Quality measure

Structure: Evidence of local arrangements to ensure that pregnant women who may require a planned caesarean section have consultant involvement in decision-making.

Process: The proportion of pregnant women who may require a planned caesarean section who have consultant involvement in decision-making.

Numerator – the number of women in the denominator who have a consultant involved in decision-making.

Denominator – the number of pregnant women who may require a planned caesarean section.

Outcome: Women's satisfaction with the decision-making process.

What the quality statement means for each audience

Service providers ensure that systems are in place for pregnant women who may require a planned caesarean section to have consultant involvement in decision-making.

Healthcare professionals ensure that pregnant women who may require a planned caesarean section have consultant involvement in decision-making.

Commissioners ensure that they commission services that have systems in place for pregnant women who may require a planned caesarean section to have consultant involvement in decision-making.

Pregnant women who may need a planned caesarean section have a consultant obstetrician involved in making the decision.

Source guidance

NICE clinical guideline 132 recommendation 1.3.2.4.

Data source

Structure: Local data collection.

Process: Local data collection.

Outcome: Local data collection.

Definitions

Pregnant women who may require a planned caesarean section

This includes both women who have clinical indications that would suggest that a planned caesarean section would be the safest way of delivering the baby, and women who request a caesarean section when there are no clinical indications.

Decision-making

The nature of the decision-making process and the extent to which the consultant will need to be involved in the process will vary between each woman and will depend on the complexity of their specific circumstances.