In this assignment, you will refer back to assignment you completed in previous weeks, as this assignment will build upon it. You’ll be providing a solution to a clinical problem using the EBP process

Running Head: CRITIQUE OF EVIDENCE 0

Critique of Evidence

Institutional Affiliation

Student’s name

Critique of Evidence

This paper will provide an additional critique of the evidence provided in the literature review. Three articles were reviewed based on their content and how it relates to the PICOT question which is "For expectant mothers, how does cesarean delivery compare to normal child delivery result in excessive blood loss after birth?” All the articles chosen are not older than 5 years.

The first article that will be critiqued is the article by Tommy titled “C-section - benefits, and risks. (2018, April 24). Tommy's. https://www.tommys.org/pregnancy-information/labour-birth/caesarean-section/c-section -benefits-and-risks.” The research design of the study is through a survey. The author uses personal stories from people who have undergone C-section and uses these stories to generate data. The threat to the external/internal validity of this research is that the stories might be biased in a way. There is also a threat of the respondent misleading the researcher due to misunderstanding of the questions asked. There were no legal or ethical issues identified in this article. The results from this article are useful for women to know what to expect before and after undergoing a c-section delivery. This is important for evidence-based practice because it will enable women to make informed decisions about the type of delivery to have.

The second article that will be critiqued is the article by Escobar which was published in 2017, September 15. The title of the article is “Why C-section rates are so high.” The research design of the study is a mixture of both primary and secondary sources. The author makes use of personal stories from mothers who have undergone C-section during the delivery as well as using other published material on the topic. The threats to the internal and external validity of this research are that the stories provided by the sample might not be representative of the whole population. The likely legal and ethical issues within the article include the fact that the author reveals the identity of one of the respondents and this could lead to privacy and confidentiality issues. The main thing that can inform evidence-based practice is that women should be aware of the problems surrounding c-sections and only undergo this kind of delivery when it is completely necessary.

The third article to be critiqued is one by the “World Health Organization” published in 2015, April 10. The title of the article is “WHO statement on cesarean section rates.” The research design of the article is a mixed-method design. Different research methods have been used to draw conclusions in the article. The WHO conducted various studies to identify causes of the rising rates of c-section deliveries and they reinforced these studies with secondary sources on the same topic. Data were analyzed and the recommendations provided. These recommendations are important in evidence-based practice and can be used to inform major changes. One of the recommendations from this article is for hospitals to use the Robson classification system to help in controlling the rate of C-section deliveries (WHO, 2015). No legal or ethical issues were identified in this article.

Conclusion

In conclusion, the three articles provide sufficient evidence showing that c-section rates have been on the rise in the United States. The World Health Organization recommends that the Robson classification should be used in hospitals to control the rate of C-section deliveries and prioritize those that are necessary.

REFERENCES

C-section - benefits and risks. (2018, April 24). Tommy's. https://www.tommys.org/pregnancy-information/labour-birth/caesarean-section/c-section -benefits-and-risks

Escobar, N. (2017, September 15). Why C-section rates are so high. TheBump.com - Pregnancy, Parenting, and Baby Information. https://www.thebump.com/a/c-section-rate-problems.

WHO. (2015, April 10). WHO statement on cesarean section rates. WHO | World Health

Organization. https://www.who.int/reproductivehealth/topics/maternal_perinatal/faq-cs-section/en/