Quality statement 6: Consultant obstetrician involvement in decision-making for unplanned caesarean section

Quality statement 6: Consultant obstetrician involvement in decision-making for unplanned caesarean section

Quality statement

Women being considered for an unplanned caesarean section have a consultant obstetrician involved in the decision.

Rationale

Involving a consultant obstetrician in urgent decisions about whether an unplanned caesarean section is necessary helps to ensure that all the relevant factors are taken into consideration. This should ensure the best possible outcome for the woman and the baby.

Quality measure

Structure: Evidence of local arrangements to ensure that women being considered for an unplanned caesarean section have a consultant obstetrician involved in the decision.

Process: The proportion of women being considered for an unplanned caesarean section who have a consultant obstetrician involved in the decision.

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

Denominator – the number of women being considered for an unplanned caesarean section.

Outcome:
a) Unplanned caesarean section rates.

b) Women's satisfaction with the decision-making process.

What the quality statement means for each audience

Service providers ensure that systems are in place to ensure women being considered for an unplanned caesarean section have a consultant obstetrician involved in the decision.

Healthcare professionals ensure that women being considered for an unplanned caesarean section have a consultant obstetrician involved in the decision.

Commissioners ensure that they commission services that have systems in place for women being considered for an unplanned caesarean section to have a consultant obstetrician involved in the decision.

Women who, during labour, are being considered for an unplanned caesarean section because of complications have a consultant obstetrician involved in the decision.

Source guidance

NICE clinical guideline 132 recommendation 1.3.2.4.

Data source

Structure: Local data collection.

Process: Local data collection.

Outcome:
a) The Maternity services secondary uses data set will collect data on 'the method for delivering baby' (global number 17206160) once implemented.

b) Local data collection.

Definitions

Unplanned caesarean section

This refers to the categories described in NICE clinical guideline 132 section 1.2.

Consultant obstetrician involvement

This should include direct involvement in the decision either in person or via telephone if consultant cover is through on-call arrangements. Their involvement and the way in which they were involved (that is, by phone or in person) should be documented in the woman's maternity notes.