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What should be discussed when considering an induction of labour? A Delphi study to develop a core information set for induction of labour.
  • +17
  • Eve Bunni,
  • Vicky Bradley,
  • Carol Kingdon,
  • Alexandra Hunt,
  • Amy Mahdi,
  • Ria Jagadish,
  • Sophie Fox,
  • Millie O’Dair,
  • Charlotte Simms,
  • Munn Yee Tan,
  • Laura Bonnett,
  • Benjamin Greenfield,
  • Caroline Cunningham,
  • Siobhan Holt,
  • Christy Burden,
  • Jo Ficquet,
  • Elena Oteroromero,
  • William Parry-Smith,
  • Mairead Black,
  • Abi Merriel
Eve Bunni
University of Liverpool

Corresponding Author:[email protected]

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Vicky Bradley
University of Liverpool
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Carol Kingdon
University of Liverpool
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Alexandra Hunt
University of Liverpool
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Amy Mahdi
Liverpool Women's Hospital
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Ria Jagadish
University of Liverpool
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Sophie Fox
University of Liverpool
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Millie O’Dair
Box Hill Hospital
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Charlotte Simms
Liverpool University Hospitals NHS Foundation Trust
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Munn Yee Tan
University of Liverpool
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Laura Bonnett
University of Liverpool
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Benjamin Greenfield
University of Liverpool
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Caroline Cunningham
Liverpool Women's NHS Foundation Trust
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Siobhan Holt
Liverpool Women's NHS Foundation Trust
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Christy Burden
University of Bristol
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Jo Ficquet
Royal United Hospitals Bath NHS Foundation Trust
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Elena Oteroromero
Cambridge University Hospitals NHS Foundation Trust
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William Parry-Smith
Keele University
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Mairead Black
University of Aberdeen
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Abi Merriel
University of Liverpool
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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.