156 Chapter 7 2.3 National guidelines 2.3.1 Search and selection In October 2021, we searched for relevant national guidelines in the Dutch guideline database and on the websites of the Dutch associations of obstetricians and midwives. Relevant guidelines were all national guidelines on maternity care related issues that described specific recommendations for IOL in common situations. From this selection, the following four topics were identified: 1) the management of shoulder dystocia (including recommendations for suspected macrosomia or large for gestational age infants), 2) reduced fetal movement, 3) elective induction of labor, and 4) late term pregnancy (≥41 weeks) (Table 1). Table 1. Subject, authorization parties, and publication date of the included national guidelines Subject Authorization parties Publication date Shoulder dystocia Dutch association of obstetricians 17-09-2008 Reduced fetal movements Dutch association of obstetricians Dutch association of midwives 12-2013 Elective induction of labour Dutch association of obstetricians 15-4-2020 Late term pregnancy (≥41 weeks pregnancy) Dutch association of obstetricians Dutch association of midwives Dutch association of paediatricians Client organizations 15-2-2021 2.3.2. Quality assessment The quality of the national guidelines was assessed using the AGREE II instrument (22). This instrument consists of two overall items and 23 items divided into six domains (Box 2), which assess the quality and development process of the guidelines. Each item, except the two overall items, is scored on a 7-point scale (1 - strongly disagree to 7 - strongly agree). A sum score and percentage is calculated for each domain. One of the overall items asks whether the guideline can be used in practice (yes – no) and the other item asks for a numerical quality score. Each guideline was scored independently by three of the authors, individual scores were compared and consensus was reached after discussion. In addition, we extracted the recommendations for IOL from each of the four guidelines. Box 2: Six domains of AGREE II Domain 1: Scope and purpose Domain 2: Stakeholder involvement Domain 3: Rigor of development Domain 4: Clarity of presentation Domain 5: Applicability Domain 6: Editorial independence
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