The National Quality Plan and More Caesarean Sections, Less Wound Infections,more Gestational Diabetes (GDM) and Fewer Smokers in Northern Norway: A Registry-based Retrospective Study

 The Ministry of Health and Care Service’s plan for improved maternity and delivery care was implemented in Northern Norway in March 2012. Selection criteria were standardized and economic resources allocated. Methods: We explored the effects in a retrospective quality of care study employing data from the Medical Birth Registry of Norway (MBRN). The prior study (2009-11) was compared with the 2012-14 period.

The levels of care were Midwife administered maternity units (MAMU), Departments of Obstetrics and Gynaecology (DOG) and Regional Clinics of Obstetrics and Gynaecology (RCOG). National data on post-caesarean surgical wound infection (2009-2014) was added.

Quality of care was defined as rate of multiple pregnancies, eclampsia, vacuum or forceps assisted delivery, births during transportation, caesarean section rate, post-caesarean wound infection, perineal rupture, smoking habits, body mass index (BMI), Apgar score <7, birth weight <2.5 kg and stillbirth.

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