What should be discussed when considering an induction of labour? A
Delphi study to develop a core information set for induction of labour.
Abstract
Objective: This study aims to develop a core information set (CIS) for
induction of labour. A CIS is an agreed set of information points for
discussion prior to an intervention. Design: First a long list of
information points was identified through a systematic review of
reviews, reviewing patient leaflets, analysis of pre-existing
qualitative interviews and an initial stakeholder survey. A long list of
items was collated before combining and refining alongside an
involvement group. Cognitive interviews were undertaken to refine the
Delphi Survey before a two-round modified Delphi process where
participants voted on the importance of the information items.
Pre-specified criteria were used to select the items taken forward to a
consensus meeting. Participants were recruited via UK hospital sites,
online and social media platforms and included parents and
professionals. Setting and population: Participants were recruited via
UK hospital sites, online and social media platforms and included
parents and professionals. Main outcome: A core information set for
induction of labour. Results: 199 information points were identified
through systematic review (110), patient information leaflets (162),
qualitative interviews (58) and a survey (93). 46 unique information
items entered the first Delphi round after 4 cognitive interviews, 2
items were added following round 2. 368 people (310 parents/ 58
professionals) participated in round 1 and 177 people (154 parents/23
professionals) in round 2. 44 items met inclusion criteria; 1 item
excluded, and 3 items were carried forward for consensus meeting
discussion where 12 overarching information points were agreed upon.
Conclusion: This CIS can help to inform and support discussions about
induction to enable parents to make informed decisions about birth.