Multifaceted intervention to improve obstetric practices: The OPERA cluster-randomized controlled trial

Corinne Dupont (1) , Norbert Winer (2) , Muriel Rabilloud (3) , Sandrine Touzet (4) , Bernard Branger (5) , Jacques Lansac (6) , Laurent Gaucher (7) , Antoine Duclos (8) , Cyril Huissoud (9) , Florent Boutitie (3) , René-Charles Rudigoz (10) , Cyrille Colin (11)

1 HESPER - Health Service and Performance Research
2 Service d'obstétrique-gynécologie [Nantes]
3 Biostatistiques santé
4 CHLS - Centre Hospitalier Lyon Sud [CHU - HCL]
5 Réseau Sécurité Naissance - Naître Ensemble, Nantes
6 Réseau périnatal PerinatCentre
7 HFME - Hôpital Femme Mère Enfant [CHU - HCL]
8 SIS - Santé Individu Société
9 SBRI - Institut cellule souche et cerveau / Stem Cell and Brain Research Institute
10 CHU Lyon - Service de Gynécologie et d'Obstétrique
11 IMER - Pôle Information Médicale Evaluation Recherche

The intervention reduced the rate of suboptimal care mainly in morbidity cases and the incidence of morbidity but did not succeed in improving morbidity plus mortality combined. More clear-cut results regarding mortality require a longer study period and the inclusion of structures that intervene before and after the delivery room. (ClinicalTrials.gov ID: NCT02584166).

Mots clés: Cluster-randomized trial; Morbidity and mortality conferences; Perinatal morbidity and mortality; Professional practices; Program evaluation; Psychologists

Domaines: Santé publique et épidémiologie; Sciences de l'Homme et Société

Corinne Dupont, Norbert Winer, Muriel Rabilloud, Sandrine Touzet, Bernard Branger, et al.. Multifaceted intervention to improve obstetric practices: The OPERA cluster-randomized controlled trial. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2017, 215, pp.206 - 212. ⟨10.1016/j.ejogrb.2017.06.026⟩. ⟨hal-01796950⟩