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dc.contributor.authorCheyne, Helen-
dc.contributor.authorDowding, Dawn-
dc.contributor.authorHundley, Vanora-
dc.contributor.authorAucott, Lorna-
dc.contributor.authorStyles, Maggie-
dc.contributor.authorMollison, Jill-
dc.contributor.authorGreer, Ian-
dc.contributor.authorNiven, Catherine-
dc.description.abstractObjectives: to describe the development and testing of an algorithm for diagnosis of active labour in primiparous women. Design: qualitative and quantitative methods were used. A literature review was first conducted to identify the key cues for inclusion in the algorithm. Focus groups of midwives were then conducted to assess content validity, finally a vignette study assessed the inter-rater reliability of the algorithm. Setting: midwives from two study sites were invited to participate. Data were collected during 2002 and 2003. Participants: midwives from the first site took part in the focus groups (n=13), completed vignettes (n=19), or both. Midwives from the second site then completed vignettes (n=17). Findings: an algorithm, developed from the key informational cues reported in the literature, was validated in relation to content validity by the findings from the focus groups. Inter-rater reliability was tested using vignettes of admission case histories and was found to be moderate in the first test (K=0.45). However, after modifying the algorithm the kappa score was 0.86, indicating a high level of agreement. Key conclusions: diagnosis of labour may be straightforward on paper but is frequently problematic in practice. This may be because the diagnosis of labour is made in a high pressured environment where conflicting pressures of workload, limited resources and emotional pressures add to the complexity of the judgement. Implications for practice: we offer a valid and reliable decision-support tool as an aid for diagnosis of labour. The evaluation of the implementation of this tool is under way and will determine whether it is effective in reducing unnecessary admissions and improving clinical outcomes for women.en_UK
dc.relationCheyne H, Dowding D, Hundley V, Aucott L, Styles M, Mollison J, Greer I & Niven C (2008) The development and testing of an algorithm for diagnosis of active labour in primiparous women, Midwifery, 24 (2), pp. 199-213.-
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.-
dc.subject.lcshLabor (Obstetrics)-
dc.titleThe development and testing of an algorithm for diagnosis of active labour in primiparous womenen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreasonThe publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.-
dc.type.statusPublisher version (final published refereed version)-
dc.contributor.affiliationNMAHP Research-
dc.contributor.affiliationUniversity of York-
dc.contributor.affiliationUniversity of Stirling-
dc.contributor.affiliationUniversity of Aberdeen-
dc.contributor.affiliationHS UG Regulated - Stirling-
dc.contributor.affiliationUniversity of Aberdeen-
dc.contributor.affiliationUniversity of York-
dc.contributor.affiliationNMAHP Research-
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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