Quality statement 8: Post caesarean section discussion

Quality statement

Women who have had a caesarean section are offered a discussion and are given written information about the reasons for their caesarean section and birth options for future pregnancies.

Rationale

While women are in hospital after having a caesarean section, it is important to discuss the reasons for the caesarean section with them and their partners so that they know what this means for them when planning their family, including birth options for any future pregnancies. Because women and their partners receive a large amount of information during the immediate postnatal period, this information should be provided both verbally and in written formats.

Quality measure

Structure:
Evidence of local arrangements to ensure that women who have had a caesarean section are offered a discussion and are given written information about the reasons for their caesarean section and birth options for future pregnancies.

Process:
The proportion of women who have had a caesarean section who have had a discussion and were given written information about the reasons for their caesarean section and birth options for future pregnancies.

Numerator – The number of women in the denominator who have had a discussion and were given written information about the reasons for their caesarean section and birth options for future pregnancies.

Denominator – The number of women who have had a caesarean section.

Outcome: Women's satisfaction with post-caesarean section discussion and information.

What the quality statement means for each audience

Service providers ensure that systems are in place for women who have had a caesarean section to be offered a discussion and be given written information about the reasons for their caesarean section and birth options for future pregnancies.

Healthcare professionals ensure that women who have had a caesarean section are offered a discussion and are given written information about the reasons for their caesarean section and birth options for future pregnancies.

Commissioners ensure that they commission services that offer women who have had a caesarean section a discussion and written information about the reasons for their caesarean section and birth options for future pregnancies.

Women who have had a caesarean section are offered a discussion and given written information about the reasons for their caesarean section and birth options for future pregnancies.

Source guidance

NICE clinical guideline 132 recommendation 1.7.1.9 (key priority for implementation).

Data source

Structure: Local data collection.

Process: Local data collection.

Outcome: Local data collection.

Definitions

Offered

The offer of a discussion should be made when the woman is still in the postnatal ward, with the option to provide this at a later date, if the woman prefers.

Discussion

An opportunity for women to discuss the reasons for the caesarean section and how successful the procedure was with healthcare professionals and receive verbal and printed information about birth options for future pregnancies. The healthcare professional should be appropriately trained and experienced to provide accurate information. The level of experience needed will depend on the complexity of the case.