{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:25:02Z","timestamp":1740137102977,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,10,25]],"date-time":"2017-10-25T00:00:00Z","timestamp":1508889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,6]]},"abstract":"Background<\/jats:title>An \u2018in\u2010hours\u2019 birth represents a desired outcome following induction of labour (IOL<\/jats:styled-content>) in terms of safety, efficiency and satisfaction. Women booked for IOL<\/jats:styled-content> are often not commenced at their allocated times, and these sometimes complex births happen after\u2010hours.<\/jats:p><\/jats:sec>Aims<\/jats:title>To measure the effect of an 11:00 hours commencement time for IOL<\/jats:styled-content>.<\/jats:p><\/jats:sec>Materials and Methods<\/jats:title>A discrete\u2010event\u2010simulation patient\u2010flow model was constructed. Multiple staffing and scheduling combinations were tested, before a brief pilot and subsequent introduction of a second IOL<\/jats:styled-content> commencement time. A retrospective cohort study was performed using routinely collected data, comparing outcomes in two four\u2010month time periods, before and after introduction of the new schedule. During Time Period A, women underwent cervical ripening at 19:00 hours and were reviewed the next morning for amniotomy and oxytocin infusion (ARM<\/jats:styled-content>\/oxytocin). During Time Period B, women were either admitted at 11:00 hours for cervical ripening followed by 23:00 hours ARM<\/jats:styled-content>\/oxytocin, or at 19:00 hours for cervical ripening followed by 06:00 hours ARM<\/jats:styled-content>\/oxytocin. The primary outcome measure was the likelihood of an in\u2010hours birth (defined as 07:00\u201319:00 hours).<\/jats:p><\/jats:sec>Results<\/jats:title>In an analysis of 1689 women undergoing IOL<\/jats:styled-content>, the new IOL<\/jats:styled-content> booking schedule was associated with a 14.7% increase in in\u2010hours birth (68.4% vs 53.7%; P<\/jats:italic>\u00a0<\u00a00.01), and a corresponding reduction in overnight births. Although the IOL<\/jats:styled-content> to birth time was unaltered, we observed a decrease in IOL<\/jats:styled-content> delays and admission\u2010to\u2010birth time, and a greater likelihood of vaginal birth within 24\u00a0h of admission.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Introducing a 11:00 hours start\u2010time for IOL<\/jats:styled-content> has been associated with a significant increase in in\u2010hours births.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12734","type":"journal-article","created":{"date-parts":[[2017,10,25]],"date-time":"2017-10-25T08:12:38Z","timestamp":1508919158000},"page":"315-320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Redesigning induction of labour processes"],"prefix":"10.1111","volume":"58","author":[{"given":"Michael","family":"Beckmann","sequence":"first","affiliation":[{"name":"Mater Health Brisbane Qld Australia"},{"name":"Mater Research Institute \u2013 The University of Queensland Brisbane Qld Australia"},{"name":"School of Medicine \u2013 The University of Queensland Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7354-7005","authenticated-orcid":false,"given":"Emma","family":"Paterson","sequence":"additional","affiliation":[{"name":"Mater Health Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashleigh","family":"Smith","sequence":"additional","affiliation":[{"name":"Mater Health Brisbane Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,25]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"HilderP ZhichaoZ ParkerMet\u00a0al.Australia's mothers and babies: AIHW.2014."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.08.013"},{"volume-title":"Towards Safer Childbirth: Minimum Standards for the Organisation of Labour Wards","year":"1999","author":"Royal College of Obstetricians and Gynaecologists and Royal College of Midwives","key":"e_1_2_6_4_1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000168627.33566.3c"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-92"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02611.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.EDE.0000037975.55478.C7"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7132.657"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.26.2.97"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.09.022"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000227746.35565.d9"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2000.003"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.1987.tb00284.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2014-0241"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349109007161"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1210\/endo-125-3-1498"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1057\/jos.2009.25"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2012-201113"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2012.05.006"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12257"},{"key":"e_1_2_6_22_1","unstructured":"QuinnB. 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