SIMPLE: Implementation of recommendations from international evidence-based guidelines on caesarean sections in the Netherlands. Protocol for a controlled before and after study

BACKGROUND Caesarean section, CS, rates are rising worldwide. In the Netherlands, the most significant rise is observed in healthy women with a singleton in vertex position between, and, weeks gestation, whereas it is doubtful whether an improved outcome for the mother or her child was obtained. It can be hypothesized that evidence-based guidelines on CS are not implemented sufficiently. Therefore, the present study has the following objectives, to develop quality indicators on the decision to perform a CS based on key recommendations from national and international guidelines, to use the qual... Mehr ...