| Factors influencing use of induction of labour at term guideline |
| • Induction of labour before 41 complete gestation weeks |
| • Maternal request for induction at term |
| • Possible complications insufficiently discussed with women when planning an induction |
| • Medico-legal concerns |
| • Adoption of a proactive approach to reduce potential risks of lawsuits |
| • Unavailability of induction during the weekend |
| Factors influencing use of fetal health surveillance in labour guideline |
| • Not having a one-to-one nurse–patient ratio |
| • Use of a central monitoring system |
| • Anaesthesia department preferences for the use of continuous electronic fetal monitoring |
| • Availability of equipment (i.e. pH metre) |
| • Limited use of fetal scalp blood sampling |
| • Fear of lawsuits |
| • Availability of experienced nurses |
| • Maternal preferences for the use of continuous electronic fetal monitoring |
| Factors influencing use of operative vaginal birth guideline |
| • Conclusions of the term breech trial of Marie Hannah et al.25
|
| • Need of more evidence about maternal and neonatal morbidity |
| • Not having a blended remuneration mode |
| • Lack of skills or unwillingness to offer instrumental vaginal birth |
| • Maternal refusal to attempt an external cephalic version |
| Factors influencing use of vaginal birth after previous caesarean birth guideline |
| • Need of a high-level infrastructure necessary to offer a safe vaginal birth after
caesarean section |
| • Availability of an anaesthetist at all times |
| • Use of a conditional verb tense “should be offered to a woman” in the guideline |
| • Fear of lawsuits in case of uterine rupture |
| • Women’s preference for a repeat caesarean section |
