Document Detail

Midwifery care and medical complications: the role of risk screening.
MedLine Citation:
PMID:  7779225     Owner:  NLM     Status:  MEDLINE    
This study analyzed the 147,293 births attended by midwives in the United States in 1989. It used the revised and expanded standard national certificate of a live birth, which for the first time systematically records prenatal medical risk, intrapartum complications, obstetric procedures, and birth outcomes. It builds on earlier findings of positive outcomes for midwife-attended births to examine the prenatal medical risk profile of mothers served by midwives, the performance of obstetric procedures by midwives in different birth settings, more specific measures of outcomes, and possible explanations for these findings. Although midwives attending births in birth centers and homes generally serve mothers who are at much less than average medical risk, and in cases of intrapartum complications risk screening appears to occur, nurse-midwife-attended births in hospitals involve mothers whose risk profiles compare with, and in some cases are worse than, the national average. Nonetheless, the outcomes of these births are better than the national average. Mothers attended by midwives in birth centers and homes also have a different pattern of prenatal care, which begins later and includes fewer visits, but gives more apparent attention to self-care, and results in less smoking and alcohol use and greater weight gain.
E R Declercq
Related Documents :
21934535 - Differential habituation to repeated sounds in infants at high risk for autism.
22364405 - Community volunteers can improve breastfeeding among children under six months of age i...
22110605 - Infant pupil diameter changes in response to others' positive and negative emotions.
22891735 - Nutrition algorithms for infants with hypoplastic left heart syndrome; birth through th...
18274315 - Optimizing the use of 17p in pregnant managed medicaid members.
2213855 - Familial incidence of multiple births in a colony of chimpanzees (pan troglodytes).
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  22     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-07-20     Completed Date:  1995-07-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  68-73     Citation Subset:  N    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Birth Certificates
Mass Screening / methods*
Nurse Midwives*
Pregnancy Complications / prevention & control*
Pregnancy Outcome*
Risk Factors
United States

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

Previous Document:  Changes in cesarean delivery in the United States, 1988 and 1993.
Next Document:  What predicts breastfeeding intention in Mexican-American and non-Hispanic white women? Evidence fro...