Leanne V Jones

Methods to induce labour: A systematic review, network meta-analysis and cost-effectiveness analysis

To compare the clinical effectiveness and cost‐effectiveness of labour induction methods.

Outcomes reported in trials of methods for the induction of labour

Background Labour inductions have increased steadily over the past two decades, with overall rates in many countries now exceeding 20% of all births. We have conducted a systematic review, network meta-analysis and cost-effectiveness analysis to determine which treatments for induction perform best on pre-specified safety and efficacy outcomes. This poster reports analysis of the outcomes reported in trials.

Non-pharmacological approaches for pain relief during labour can improve maternal satisfaction with childbirth and reduce obstetric interventions

Commentary on : Chaillet N, Belaid L, Crochetiere C, et al. Non-pharmacological approaches for pain management during labour compared with usual care: a meta-analysis. Birth 2014:41;122–37.[OpenUrl][1][CrossRef][2][PubMed][3] Women experience pain of differing intensities during labour and this pain intensity can be affected by many physiological and psychosocial factors. Most women require some form of pain relief and pain management, … [1]: {openurl}?query=rft.jtitle%253DBirth%26rft.volume%253D41%26rft.spage%253D122%26rft_id%253Dinfo%253Adoi%252F10.1111%252Fbirt.12103%26rft_id%253Dinfo%253Apmid%252F24761801%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1111/birt.12103&link_type=DOI [3]: /lookup/external-ref?access_num=24761801&link_type=MED&atom=%2Febnurs%2F18%2F3%2F70.atom

Routinely collected infant feeding data: Time for global action (Forthcoming/Available Online)

The importance of breastfeeding is clear. However, global action to support breastfeeding is hindered by the lack of reliable standard data, which continues to impede progress. Routinely collected data can monitor the effectiveness of health policy, evaluate interventions, and enhance international research collaboration and comparisons. Use of routine data to support effective public health initiatives such as smoking cessation has been demonstrated. However, the data collected about infant feeding practices worldwide is inconsistent in timing, methods, definitions, detail, storage, and consistency. Improvements to the reach and quality of routinely collected data about infant feeding are needed to strengthen the global evidence and policy base. An international collaborative effort is called for to progress this.

labour induction with prostaglandins: what works best? A systematic review, network meta-analysis and cost-effectiveness analysis

• A network meta-analysis (NMA) of randomised controlled trials (RCTs) was conducted comparing 12 different prostaglandins used for labour induction. Different methods were compared with each other and with no treatment or placebo. • Data were extracted for five key outcomes in terms of effectiveness and safety: serious neonatal morbidity or perinatal death, serious maternal morbidity or death, uterine hyperstimulation with fetal heart rate changes, failure to achieve vaginal delivery within 24 hours, and caesarean section. • Relative treatment effects are reported as posterior median odds ratios (OR) and 95% Credible Intervals (CrI). • The probability of each treatment being 1st, 2nd, 3rd, etc. most effective was calculated for each outcome. • All analysis were conducted within a Bayesian framework using OpenBUGS. LABOUR INDUCTION WITH PROSTAGLANDINS: WHAT WORKS BEST? A SYSTEMATIC REVIEW, NETWORK META-ANALYSIS AND COST-EFFECTIVENESS ANALYSIS Keeney E1, Welton NJ1, Dowswell T2, Dias S1, Medley N2, Jones L2, Navaratnam K2 , Alfirevic Z2 , Caldwell DM1