Birth centre confinement at the Queen Victoria Medical Centre. I. Obstetric and neonatal outcome

Campbell, James B.; Hudson, Hilda P.; Lumley, Judith; N, Morris; Rao, Jay; Spensley, John

doi:10.5694/j.1326-5377.1981.tb100996.x

Cited by 11 publications

(3 citation statements)

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“…For example, one of the included trials–the Stockholm Birth Centre Trial 5 –while designed for women deemed to be at low risk, included women that many of the other trials excluded such as those with a previous caesarean section or perinatal death. By comparison, one of the trials included from Australia 6 included both high and low risk women, but used a list of risk factors designed for birth centre care 7 . For this reason we decided to select trials regardless of the risk status at booking.…”

Section: Methodsmentioning

confidence: 99%

A systematic review comparing continuity of midwifery care with standard maternity services

Waldenström

Turnbull

1998

BJOG

106

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Objective To review randomised controlled trials of alternative maternity services characterised by continuity of midwifery care.Methods A systematic review of randomised controlled trials, analysed on an intention to treat basis, in which the study intervention was characterised by a midwife or small group of midwives providing care from early pregnancy to the postnatal period (defined as that provided on the postnatal ward); and the controls by standard maternity care as practised in the place where the trial was conducted. The seven trials identified included 9148 women. Main outcome measures were interventions during labour, maternal outcomes and infant outcomes.Results The alternative models with continuity of midwifery care were associated with less use of obstetric interventions during labour (eg, induction, augmentation of labour, electronic fetal monitoring, obstetric analgesia, instrumental vaginal delivery and episiotomy). However, the caesarean section rate did not differ statistically between the trial groups (OR 0.91; 95% CI 0.78 to 1.05). The lower episiotomy rate in the alternative models of care (OR 0.69; 95% CI 0.61 to 0.77) was associated with a significantly higher rate of perineal tears in the pooled alternative groups (OR 1.15; 95% CI 1.05 to 1.26). The percentage of intact perineums was very similar for the two groups (OR 1.11; 95% CI 1.00 to 1.24). There was no maternal death, and rates of maternal complications based on unpooled estimates did not show any statistically significant differences. The proportion of babies with an Apgar score < 7 at five minutes after the birth was approximately the same in the pooled alternative groups as in the control groups (OR 1-13 95% CI 0.69 to 1.84). Admission to intensive care or special care baby unit was similar (OR 0.86; 95% CI 0.71 to 1.04). The difference in perinatal deaths was bordering on statistical significanceContinuity of midwifery care is associated with lower intervention rates than standard maternity care. No statistically significant differences were observed in maternal and infant outcomes. However, more research is necessary to make definite conclusions about safety, for the infant as well as for the mother. This review illustrates the variation in the different models of alternative and standard maternity care, and thus the problems associated with pooling data from different trials.(OR 1.60; 95% CI 0.99 to 2.59). Conclusion

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Section: Methodsmentioning

confidence: 99%

A systematic review comparing continuity of midwifery care with standard maternity services

Waldenström

Turnbull

1998

BJOG

106

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“…requiring less medical intervention, in birth centres than in the conventional setting (e.g. Campbell, Hudson, Lumley, Morris, Rao & Spensley, 1981 ;Eggers et af., 1985;Feldman & Hurst, 1987;Goodlin, 1980;IMNRC, 1982;Morris, Campbell, Biro, Lumley, Rao & Spensley, 1986). Discussion of these findings has suggested that part of the explanation for the good performance of birth centres may have to do with differences in mothers' attitudes to birth in the birth centre as well as changed hospital procedures (Goodlin, 1980).…”

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confidence: 99%

“…Discussion of these findings has suggested that part of the explanation for the good performance of birth centres may have to do with differences in mothers' attitudes to birth in the birth centre as well as changed hospital procedures (Goodlin, 1980). Campbell et al (1981) have gone further to argue that an important aspect of evaluating any birth setting is to consider the quality of the birth experience itself, not just medical outcomes.…”

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confidence: 99%

Women's first experiences of childbirth: Two hospital settings compared

Bradley

Tashevska

Selby³

1990

British Journal of Medical Psychology

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This study analyses expectations, experiences and the aftermath of childbirth from interviews conducted with 60 mothers nine months after their first child was born. Half had given birth in a 'family birthing centre' (FBC) and half had used the conventional delivery suite (CDS). Findings showed that the two groups of women had different antenatal orientations to the birth, different experiences of the labour, different experiences of motherhood and different levels of satisfaction with childbirth in retrospect. In particular, women using the FBC wanted to be and were more actively involved in the birth process than women from the CDS, experienced fewer medical interventions during labour and were more satisfied with childbirth afterwards than users of the CDS. FBC mothers reported more breast feeding than bottle feeding at nine months and a greater incidence of self-attributed 'depression'.

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Women's satisfaction with antenatal and postnatal care: an analysis of individual and organisational factors

Zadoroznyj

1996

Australian and New Zealand Journal of Public Health

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A local study of consumer views of maternity services was initiated because of major shifts in the patterns of maternity service provision and use in a metropolitan region. Women who had given birth to a live infant at one of four hospitals in and near the region in the 1991 calendar year were surveyed about their satisfaction with their antenatal and postnatal care. Questionnaires were sent to 866 women and 519 responded, for an overall response rate of 62 per cent; in the second stage of the study, in-depth interviews were conducted with 50 of the women. Analyses were conducted according to the hospital and to individual sociodemographic characteristics. There were statistically significant differences in satisfaction according to women's sociodemographic characteristics and the type of hospital at which they gave birth. Women who were best off in terms of economic, educational and other social resources reported the highest levels of satisfaction. Analyses by hospital revealed important differences between different types of public hospital, and between public and private hospitals. The results suggest that changing some of the organisational features of antenatal and postnatal care provision may make a significant difference to women's experience of, and satisfaction with, maternity services; most of the organisational changes identified suggest an enhanced or extended role for midwives in the provision of antenatal and postnatal services.

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Birth centre confinement at the Queen Victoria Medical Centre. I. Obstetric and neonatal outcome

Cited by 11 publications

References 0 publications

A systematic review comparing continuity of midwifery care with standard maternity services

A systematic review comparing continuity of midwifery care with standard maternity services

Women's first experiences of childbirth: Two hospital settings compared

Women's satisfaction with antenatal and postnatal care: an analysis of individual and organisational factors

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