Identifying barriers and facilitators towards implementing guidelines to reduce caesarean section rates in Quebec
Nils Chaillet, Eric Dubé, Marylène Dugas, Diane Francoeur, Johanne Dubé, Sonia Gagnon, Lucie Poitras, Alexandre Dumont
Volume 85, Number 10, October 2007, 791-797
Table 1. Setting and respondent participation in focus groups and semi-directed interviews
| Setting characteristics | Hospital A | Hospital B | Hospital C |
|---|---|---|---|
| Beds (maternity unit) | 86 | 29 | 28 |
| Beds (nursery) | 72 | 35 | 30 |
| Services | High-risk obstetric and paediatric care | Intermediary obstetric care | Obstetric care, family medicine |
| Availability of neonatal care | Yes | Yes | Yes |
| Availability of neonatal intensive care unit | Yes | No | No |
| Availability of midwifery services | No | No | No |
| Births in 2004–2005 | 2893 | 2595 | 1764 |
| Nurse–patient ratio in delivery unit | 1:1 to 1:2 | 1:1 to 1:3 | 1:1 to 1:2 |
| Academic status | Yes | Yes | Yes |
| No. of obstetricians | 18 | 13 | 6 |
| No. of family physicians | 1 | 6 | 13 |
| No. of nurses in delivery unit | 53 | 45 | 58 |
| Anesthetists on site | Yes | Yes | Yes |
| Pediatrists on site | Yes | Yes | No |
| Availability of EFM machine | Yes | Yes | Yes |
| Central EFM | No | No | Yes |
| Availability of fetal scalp blood sampling | Yes | No | Yes |
| Rate of caesarean section (2004–2005) | 27.2% | 24.0% | 22.6% |
| Payment method | In transition from pool to blended | Blended | Individual |
| Number of available obstetricians | 15 | 13 | 6 |
| % of agreement to participate | 93% | 85% | 100% |
| % of participation of agreed obstetricians | 86% | 91% | 83% |
| % of participation of available obstetricians | 80% | 77% | 83% |
| Number of included obstetricians | 12 | 10 | 5 |
| No. of focus group | 4 | 4 | 2 |
| No. of semi-structured interviews | 4 | 2 | 0 |
EFM, electronic fetal monitoring.