ArticleBMC pregnancy and childbirth2009
Births in two different delivery units in the same clinic--a prospective study of healthy primiparous women.
Article in BMC pregnancy and childbirth, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed.
- Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women.BMC pregnancy and childbirth · 2016Trial
- Is the operative delivery rate in low-risk women dependent on the level of birth care? A randomised controlled trial.BJOG : an international journal of obstetrics and gynaecology · 2011Trial
- Midwife-Led Versus Obstetrician-Led Perinatal Care for Low-Risk Pregnancy: A Systematic Review and Meta-Analysis of 1.4 Million Pregnancies.Journal of clinical medicine · 2024Review
- Vaginal Birth at Term - Part 1. Guideline of the DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/083, December 2020).Geburtshilfe und Frauenheilkunde · 2022Article
- Use of pudendal nerve block among midwives in Norway: A national cross-sectional study.European journal of midwifery · 2022Article
- Obstetrician involvement in planned midwife-led births: a cohort study in an obstetric department of a University Hospital in Switzerland.BMC pregnancy and childbirth · 2021Article
- Health system redesign for maternal and newborn survival: rethinking care models to close the global equity gap.BMJ global health · 2020Review
- The "Cocoon," first alongside midwifery-led unit within a Belgian hospital: Comparison of the maternal and neonatal outcomes with the standard obstetric unit over 2 years.Birth (Berkeley, Calif.) · 2020Article
- Towards a better understanding of risk selection in maternal and newborn care: A systematic scoping review.PloS one · 2020Article
- Maternal and perinatal outcomes by planned place of birth in Australia 2000 - 2012: a linked population data study.BMJ open · 2019Article
- Labour outcomes in caseload midwifery and standard care: a register-based cohort study.BMC pregnancy and childbirth · 2018Observational
- A ten-year study of midwife-led care at an Austrian tertiary care center: a retrospective analysis with special consideration of perineal trauma.BMC pregnancy and childbirth · 2017Article
- Midwife-led maternity care in Ireland - a retrospective cohort study.BMC pregnancy and childbirth · 2017Article
- Onsite midwife-led birth units (OMBUs) for care around the time of childbirth: a systematic review.BMJ global health · 2016Article
- Different settings of place of midwife-led birth: evaluation of a midwife-led birth centre.SpringerPlus · 2016Article
- Audit of a new model of birth care for women with low risk pregnancies in South Africa: the primary care onsite midwife-led birth unit (OMBU).BMC pregnancy and childbirth · 2014Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarlier studies indicate that midwife-led birth settings are associated with modest benefits, including reduced medical interventions and increased maternal satisfaction. The generalizability of these studies to birth settings with low intervention rates, like those generally found in Norway, is not obvious. The aim of the present study was to compare intervention rates associated with labour in low-risk women who begin their labour in a midwife-led unit and a conventional care unit.
methodsEligible participants were low-risk primiparas who met the criteria for delivery in the midwife-led ward regardless of which cohort they were allocated to. The two wards are localised at the same floor. Women in both cohorts received the same standardized public antenatal care by general medical practitioners and midwifes who were not involved in the delivery. After admission of a woman to the midwife-led ward, the next woman who met the inclusion criteria, but preferred delivery at the conventional delivery ward, was allocated to the conventional delivery ward cohort. Among the 252 women in the midwife-led ward cohort, 74 (29%) women were transferred to the conventional delivery ward during labour.
resultsEmergency caesarean and instrumental delivery rates in women who were admitted to the midwife-led and conventional birth wards were statistically non-different, but more women admitted to the conventional birth ward had episiotomy. More women in the conventional delivery ward received epidural analgesia, pudental nerve block and nitrous oxide, while more women in the midwife-led ward received opiates and non-pharmacological pain relief.
conclusionWe did not find evidence that starting delivery in the midwife-led setting offers the advantage of lower operative delivery rates. However, epidural analgesia, pudental nerve block and episiotomies were less often while non-pharmacological pain relief was often used in the midwife-led ward.
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