Quality statement 1: Women's involvement in decisions about induction of labour

Quality statement

Women who are being offered induction of labour are given personalised information about the benefits and risks for them and their babies, and the alternatives to induction.

Rationale

The quality of the information-giving process, and the provision of information about induction of labour at the most appropriate time, can ensure effective choices by women about whether and when they have their labour induced. Women can use this information to consider their options, to ask questions and to reach a decision with the support of their healthcare professionals.

Quality measures

Structure

Evidence of local arrangements to ensure that women who are offered induction of labour are provided with personalised information about the benefits and risks for them and their babies, and the alternatives to induction.

Data source: Local data collection.

Process

Proportion of women who are offered induction of labour who receive personalised information about the benefits and risks for them and their babies, and the alternatives to induction.

Numerator – the number of women in the denominator who received personalised information about the benefits and risks for them and their babies, and the alternatives to induction.

Denominator – the number of women who are offered induction of labour.

Data source: Local data collection.

Outcome

Women who are offered induction of labour feel that they were given sufficient information to enable them to choose to have their labour induced.

Data source: Local data collection. NICE audit support for induction of labour; NICE questionnaire for women for induction of labour.

What the quality statement means for service providers, healthcare professionals and commissioners

Service providers ensure that personalised verbal and written information is available for women who are offered induction of labour that explains the reasons for induction of labour, the benefits and risks for them and their babies, and the alternatives to induction.

Healthcare professionals ensure that they provide women who are offered induction of labour with personalised information explaining the reasons for induction of labour, the benefits and risks for them and their babies, and the alternatives to induction.

Commissioners ensure that they commission services that provide women who are offered induction of labour with personalised information explaining the reasons for induction of labour, the benefits and risks for them and their babies, and the alternatives to induction.

What the quality statement means for women offered induction of labour and their partners, families and carers

Women who are offered induction of labour (labour that is artificially started using a pessary, tablet or gel) are given personalised information by their healthcare professionals about the reasons for induction of labour, the benefits and risks for them and their babies, and the alternatives to induction.

Source guidance

  • Induction of labour (NICE clinical guideline 70), recommendations 1.1.1.1 and 1.1.1.2 (key priorities for implementation), and 1.1.1.3.

Definitions of terms used in this quality statement

Personalised information

For women who are offered induction of labour personalised information includes the reasons why induction may be clinically appropriate, and alternative options; when, where and how induction may be carried out (including pain relief options); and the risks and benefits of induction of labour relevant to the woman's own circumstances. [Adapted from NICE clinical guideline 70, recommendation 1.1.1.2]

Equality and diversity considerations

Personalised information about the reasons for induction of labour, the benefits and risks and the alternatives, should be in a form that can be understood by all women so that they can make informed choices. Information should be provided in an accessible format, including for women with physical, sensory or learning disabilities and women who do not speak or read English.