EXTRA Team Photo

The Ottawa Hospital (Ontario)

  • Jessica Dy,  Division Head and Quality Medical Lead, Division of Obstetrics and Gynecology, Ottawa Hospital, Ottawa, Ontario
  • Laura Hopkins, Deputy Chair, Department of Obstetrics and Gynecology and Head, Division of Gynecologic Oncology, Ottawa Hospital - General Campus, Ottawa, Ontario
  • Ann Mitchell, Director of Obstetrics, Gynecology and Newborn Care at the Ottawa Hospital, and Director of Neonatal Services at the Children’s Hospital of Eastern Ontario, Ottawa, Ontario

Improving Patient Outcomes and Experience in Women Requiring Labour Induction

Induction of labour is a common procedure and occurs in ~ 25% of all births, or just over 1,500 women per year, at The Ottawa Hospital. Most women who undergo labour induction often require 24-48 hours of pre-induction cervical preparation prior to the onset of labour. Evidence suggests that patient experience is better and health care cost reduced when this process is carried out in an outpatient setting. Currently at The Ottawa Hospital, most women undergoing induction of labour are admitted to the birthing unit.  This scenario utilizes acute 1:1 nursing care, prolongs women’s hospital length of stay, and creates a level of anxiety and frustration among women. This project aims to find safe and cost-effective solutions that will accommodate the nursing and monitoring needs of women requiring pre-labour cervical ripening without needing an inpatient admission to the birthing unit. Specifically, we will obtain baseline data regarding (1) proportion of women requiring inpatient labour induction (2) patient satisfaction among women undergoing inpatient labour induction (3) length of stay and cost per weighted case of inpatient labour induction.  An alternative pre-induction care pathway will be created for women meeting specific criteria and implemented at The Ottawa Hospital.  This new process is expected to decrease inpatient hospital stay by 24-48 hours, enhance patient experience in women needing an induction of labour, and reduce cost per weighted case for low risk vaginal births.