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
Annex 1. Focus groups and interviews guide
| The Society of Obstetricians and Gynaecologists of Canada (SOGC) developed evidence-based Clinical Practices Guidelines for improving best practices. These guidelines represent an appropriate means to enhance intrapartum cares and reduce caesarean section rates in Canada. The purpose of this study is to investigate obstetricians’ perceptions about the implementation in their department of the SOGC guidelines targeting management of labour, operative vaginal delivery and vaginal birth after previous caesarean birth. |
| 1. In your department, what are the factors responsible of the rise of the primary caesarean section rate? |
| 2. SOGC Guideline for the Induction of Labour at Term (107) was developed to review indications and contraindications of induction of labour, and to summarize methods of cervical ripening and labour induction, including their effectiveness and safety (2001). |
| a. Could you describe your perception about the adoption of these recommendations? |
| b. What are the barriers and challenges encountered in your practice to following these recommendations? |
| c. What are the factors and interventions that you believe to be important for facilitating and supporting the use of these recommendations in your practice? |
| 3. SOGC Guideline for the Fetal Health Surveillance in Labour (112) developed to define the standards pertaining to the application and documentation of fetal surveillance in labour for all health professionals providing intrapartum care (2002). |
| a. Could you describe your perception about the adoption of these recommendations? |
| b. What are the barriers and challenges encountered in your practice to following these recommendations? |
| c. What are the factors and interventions that you believe to be important for facilitating and supporting the use of these recommendations in your practice? |
| 4. In your department, what are the factors responsible of the rise of repeat caesarean section rate? |
| 5. SOGC recommendations of the Guideline for the Operative Vaginal Birth (148) was developed to provide guidelines for operative vaginal birth in the management of the second stage of labour (2004). |
| a. Could you describe your perception about the adoption of these recommendations? |
| b. What are the barriers and challenges encountered in your practice to following these recommendations? |
| c. What are the factors and interventions that you believe to be important for facilitating and supporting the use of these recommendations in your practice? |
| 6. SOGC Guideline for the Vaginal Birth After Previous Caesarean Birth (155) was developed to provide evidence-based guidelines for the provision of a trial of labour after caesarean section (2005). |
| a. Could you describe your perception about the adoption of these recommendations? |
| b. What are the barriers and challenges encountered in your practice to following these recommendations? |
| c. What are the factors and interventions that you believe to be important for facilitating and supporting the use of these recommendations in your practice? |