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RCOG World Congress 2025
June 23 - 25, 2025 | ExCeL London, UK
EP.1948
Can Criteria-Led Discharge Be Integrated for Post-Caesarean Patients? A Narrative Systematic Review.
Poster Presenter
Authors
Affiliations
Part of Topic
Quality improvement
A comprehensive search across Medline, CINAHL, Cochrane Library, and Scopus identified relevant studies from the last 10 years, search criteria was broadened to include related studies. Data extraction and quality appraisal were performed using the MMAT and CASP checklists
Methodology
19 studies met the inclusion criteria, the repoting followed PRISMA guidelines. Narrative synthesis was conducted, suported by Thematic synthesis. Following eere the domain guide used:
- The staff perpectives to discharge pathwayc hanges.
- The patient perspectives to early discharge
- The sustainability of CLD integration (with multiple factors like staff autonomy,policy alignment, medicolegal concerns and training needs)
- Clinical outcomes and patient safety.
key findings
This review investigatesthe effectivenessof Criteria-Led Discharge (CLD) for patients undergoing elective caesarean sections in the UK, focusing on its effects on hospital resource use, patient outcomes, and staff perceptions.
Objective
This review investigates theeffectiveness of Criteria-Led Discharge (CLD) for patients undergoing elective caesarean sections in the UK,focusingon itseffects on patient flow,hospital resource use, patient outcomes, andstaff perceptions.
Introduction
- Providing insight into CLD integration in discharge pathway
- Empowering midwives to ensure collaborative work
- Guidelines for timeliness and consistency in discharge decisions
- Decreased variations across maternity units
- Enhance patient safety and satisfaction
Key Contributions of this study
CLD is a promising strategy for enhancing postnatal care after elective caesarean sections by optimizing resources and increasing patient satisfaction. Althoug integration, and long term sustainable success of this discharge modelrequires standardized criteria, thorough staff training, and interdisciplinary collaboration. Future research should focus on randomized controlled trials and long-term assessments to support NHS policy development.
Conclusion
Exploring Potential of Criteria-Led Discharge in
Post-Caesarean Care: A Systematised Review
Dr Bushra Batool Zaidi
Doctoral researcher
Coventry University
& RCOG AssociatE member
Figure 1. Frequency of identified themes
Based on CLD, following are the attributes:
Streamlined patient flow
Enhanced postnatal recovery experiences
Reduced In-patient stay duration
Conceptual framework
There is no published literature on CLD in maternity care, which led to bradening of inclusion criteria and ensuring related studies can be used to draw inference and build evidence
Challenges
Asystematic literature review was conducted, synthesizing quantitative and qualitative evidence according to PRISMA guidelines
design
Contact
Dr Bushra Batool Zaidi
MBBS, PGD HealthAdmin, MPA HealthPolicy
dr.sbbr@yahoo.com or scan barcode