Document Detail

Birth centre or labour ward? A comparison of the clinical outcomes of low-risk women in a NSW hospital.
MedLine Citation:
PMID:  11878364     Owner:  NLM     Status:  MEDLINE    
A number of birth centres were established in New South Wales as a result of the Shearman Report (NSW Health Department 1989). The objective of this study was to compare the obstetric outcomes, primarily caesarean section rates, of low-risk women presenting in spontaneous labour to the birth centre with those attending the hospital's conventional labour ward. The study showed that there was no significant difference in the caesarean section rate between the groups (3.5% in the birth centre and 4.3% in the labour ward). We suggest that the site of birthing does not affect clinical outcomes for low-risk women at this hospital. These results are relevant to contemporary clinical practice as they question the basis upon which birth centres have been popularised, that is, the medicalisation of birth in conventional labour wards increases intervention rates.
C Homer; G Davis; P Petocz; L Barclay; D Matha; M Chapman
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation     Volume:  18     ISSN:  0813-0531     ISO Abbreviation:  Aust J Adv Nurs     Publication Date:    2000 Sep-Nov
Date Detail:
Created Date:  2002-03-06     Completed Date:  2002-04-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8409358     Medline TA:  Aust J Adv Nurs     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  8-12     Citation Subset:  N    
Midwifery Practice and Research Centre, Sydney, Australia.
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MeSH Terms
Apgar Score
Birthing Centers / standards*
Cesarean Section / utilization*
Cohort Studies
Delivery Rooms / standards*
Delivery, Obstetric / instrumentation,  methods*,  standards
Episiotomy / utilization
Health Services Research
New South Wales / epidemiology
Pregnancy Outcome / epidemiology*
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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