Predicting intrapartum caesarean stumps one in two obstetricians

A survey of RANZCOG fellows shows most would welcome a tool to identify women at risk
Clare Pain
doctors holding baby just born by caesarian section

More than half of Australian and New Zealand obstetricians are at loss to predict which women at 37-39 weeks’ gestation will go on to need an intrapartum caesarean section, a survey suggests.

Responses to the survey, which was sent to all 1423 trainees and fellows of RANZCOG in 2018, were received from one third of recipients — 394 of 750 fellows and 98 of 673 trainees.

Respondents (82% of whom were Australian) were asked the extent to which they agreed with the following statement: “At 37-39 weeks I can predict which women are likely to have an intrapartum caesarean section.”

More than half (51%) of the 467 respondents to this question either ‘disagreed’ or ‘strongly disagreed’ with the statement while 32% ‘somewhat agreed’.