Salutogenic Intrapartum Core Outcomes (SIPCO): Identification of a minimum dataset using an international eDelphi consensus process

Using a list of salutogenically-focused reported outcomes identified in a systematic review of systematic reviews of intrapartum interventions, conducted by the principal investigators to the project, and others, we propose to develop, through expert opinion and consensus, a set of salutogenic intrapartum core outcomes (SIPCO) for use in maternity care research and daily practice.


Principal investigators: Declan Devane1, Valerie Smith1
Project Team: Deirdre Daly2, Ingela Lundgren3, Tine Eri4, Cecily Begley, Mechthild Gross5, Soo Downe6, Zarko Alfirevic7, Gill Gyte8

1School of Nursing & Midwifery, National University of Ireland, Galway; 2School of Nursing & Midwifery, Trinity College Dublin; 3Institute of Health and Care Science, Sahlgrenska Academy, University of Gothenburg; 4Faculty of Health Sciences, Vestfold University College, Norway; 5Midwifery Research and Education Institute, Hannover Medical School, Hannover, Germany; 6Midwifery School of Health, University of Central Lancashire; 7University Department, Liverpool Women's Hospital; 8Cochrane Consumer Group

Further Study Information

Current Stage: Ongoing
Date: February 2015 - September 2020
Funding source(s): Non-funded, but performed as part of work within a COST Action (ISO907) titled ‘Childbirth cultures, concerns, and consequences: creating a dynamic framework for optimal maternity care’.

Health Area

Disease Category: Pregnancy & childbirth

Disease Name: Maternity care

Target Population

Age Range: 18 - 100

Sex: Either

Nature of Intervention: Any

Stakeholders Involved

- Clinical experts
- Consumers (patients)
- Researchers
- Service users

Study Type

- COS for clinical trials or clinical research


- Delphi process

An online electronic Delphi method. The Delphi will consist of three rounds, where, in rounds 1 and 2 participants will be asked to rate on a 9-point Likert scale, the importance of the listed outcomes for use in intrapartum maternity care research and daily practice. To ensure completeness of outcomes, we will also invite participants, in round 1, to add two further ‘new’ outcomes that they would consider important or relevant for inclusion in the SIPCO. These ‘new’ outcomes will automatically be forwarded to round 2. Outcomes that achieve an overall mean rating of = 7 (i.e. important), for any group, will be retained and forwarded to the successive round. In round 3, consensus on inclusion of an outcome in the final SIPCO will be determined based on = 60% of all members of at least three stakeholder groups (one of whom must include users of maternity care) answering yes to the following two questions: i) should this outcome be included in a SIPCO for use in maternity care research?, and, ii) should this outcome be included in a SIPCO for use in daily practice?