Quality standard

Quality statement 8: Post caesarean birth discussion

Quality statement

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

Rationale

While women are in hospital after having an emergency or unplanned caesarean birth, it is important to discuss the reasons for the caesarean birth 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 measures

Structure

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

Data source: Local data collection.

Process

The proportion of women who have had an emergency or unplanned caesarean birth who have had a discussion and were given written information about the reasons for their caesarean birth 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 birth and birth options for future pregnancies.

Denominator – The number of women who have had an emergency or unplanned caesarean birth.

Data source: Local data collection.

Outcome

Women's satisfaction with post-caesarean birth discussion and information.

Data source: Local data collection.

What the quality statement means for different audiences

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

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

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

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

Source guidance

Caesarean birth. NICE guideline NG192 (2021), recommendation 1.7.10

Definitions of terms used in this quality statement

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. [Adapted from NICE's guideline on caesarean birth, recommendation 1.7.10]

Discussion

An opportunity for women to discuss the reasons for the caesarean birth 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. [Adapted from NICE's guideline on caesarean birth, recommendation 1.7.10 and expert opinion]

Equality and diversity considerations

Good communication between healthcare professionals and women who have had an emergency or unplanned caesarean birth is essential. Treatment and care, and the information given about it, should be culturally appropriate. It should also be accessible to women with additional needs such as physical, sensory or learning disabilities, and to women who do not speak or read English. Women who have had a caesarean birth should have access to an interpreter or advocate if needed. For women with additional needs related to a disability, impairment or sensory loss, information should be provided as set out in NHS England's Accessible Information Standard or the equivalent standards for the devolved nations.