Changing childbirth. Antenatal care must be shared.

Stephen, Atasige Awin-Irigu

doi:10.1136/bmj.307.6907.800-a

Cited by 3 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Care of the pregnant woman has been undergoing rapid changes in this country, as a result both of consumer pressure, and a wish by all professionals to improve care[1, 2, 3]. Changing Childbirth [4] the report of the Expert Maternity Group following on from the House of Commons Select Committee report[5], has set a timetable for the introduction of changes which involves all regions in large scale changes in the running of both community and hospital aspects of maternity care and has engendered much debate among all involved with maternity care[6, 7, 8, 9, 10]. One of the major aims of Changing Childbirth is to establish a lead professional for each pregnant woman who will then co‐ordinate the provision of antenatal, intrapartum and postnatal care.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy care of the low risk woman: the community‐hospital interface

Kean

Liu

Macquisten

1996

International Journal of Health Care Quality Assurance

View full text Add to dashboard Cite

Aims to determine the extent to which women suitable for community-based antenatal and intrapartum care will require hospital contact. Reports on an historical cohort study of low risk women who underwent standard shared care and for whom the records for both pregnancy and delivery were complete at The City Hospital and University Hospital, Nottingham. Concludes that the shift to community-based care aims to bring many improvements to the overall care and satisfaction of pregnant women. However, it may not reduce the workload of hospital-based services to a great extent as the majority of women, even if low risk at booking, will require some hospital input at some time during pregnancy or labour.

show abstract

Section: Introductionmentioning

confidence: 99%

Pregnancy care of the low risk woman: the community‐hospital interface

Kean

Liu

Macquisten

1996

International Journal of Health Care Quality Assurance

View full text Add to dashboard Cite

show abstract

“…Recent policy initiatives into maternity service provision recommend the development of midwife managed maternity units (Department of Health 1993a,b; Scottish Office Home and Health Department 1993). The debate generated in response to these documents highlights the uncertainty felt by some obstetricians (Lilford 1993; Stephen 1993). While recent commentaries express concern that obstetricians have not been adequately consulted about the proposed changes in maternity services (Steer 1992; Dunlop 1993), there is little published data on the experience of obstetricians working alongside a midwife‐led unit.…”

mentioning

confidence: 99%

Working alongside a midwife‐led care unit: what do obstetricians think?

Cheyne

Turnbull

Lunan

et al. 1995

BJOG

View full text Add to dashboard Cite

Can childbirth be changed? — offering women a choice

McClean

Turnbull

McGinley

et al. 1999

British Journal of Midwifery

View full text Add to dashboard Cite

This article discusses the implementation and evaluation of an initiative to routinely provide healthy women with five choices for the type of maternity care they receive (community- and hospital-based shared care, named midwife care, DOMINO and home birth). A cohort study of 345 women was carried out at the Glasgow Royal Maternity Hospital. The study aimed to: determine the proportion of women offered choice for their type of maternity care after the introduction of the initiative; determine the proportion of women choosing the different types of care and to examine the socio-demographic predictors of the choice of care; and examine women's attitudes to being offered a choice in the type of maternity care they receive and reasons for making particular choices. The study was carried out using a retrospective review of case records and self-report questionnaires from a consecutive sub-sample of 170 women. Of those eligible, 90% (95% CI: 86% to 93%) were offered choice of care type. Half of the eligible women chose community-based shared care, 36% chose named midwife care, 10% chose hospital-based shared care, 4% requested DOMINO care and less than 1% selected home birth. Women's choice of the type of care they received was unrelated to their socio-demographic characteristics. Women were satisfied with the way that choices were offered and valued being able to choose their type of care. The response rate of the questionnaire was 84%. This article concludes that it may be realistic to routinely offer women a variety of choices of the care type they receive given the support of the professional groups involved.

show abstract

Changing childbirth. Antenatal care must be shared.

Cited by 3 publications

References 3 publications

Pregnancy care of the low risk woman: the community‐hospital interface

Pregnancy care of the low risk woman: the community‐hospital interface

Working alongside a midwife‐led care unit: what do obstetricians think?

Can childbirth be changed? — offering women a choice

Contact Info

Product

Resources

About