ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2012
Effect of a collaborative interdisciplinary maternity care program on perinatal outcomes.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of person-centered care interventions to improve quality of facility-based delivery.Reproductive health · 2018Pooled it
- What will we lose if antepartum, intrapartum, and postpartum care becomes a focused practice?Canadian family physician Medecin de famille canadien · 2026Article
- Comparison of maternal outcomes in caring by Doula, trained lay companion and routine midwifery care.BMC pregnancy and childbirth · 2023Article
- Opportunities and challenges for family-centered postpartum care during the COVID-19 pandemic: a qualitative study of nurse perspectives.BMC nursing · 2022Article
- Development and Application of "Cervical Dilatation Model for Teaching and Training".Advances in medical education and practice · 2022Article
- Respectful Maternity Care in South Asia: What Does the Evidence Say? Experiences of Care and Neglect, Associated Vulnerabilities and Social Complexities.International journal of women's health · 2022Review
- Ottawa prenatal educator e-survey: Experiences and perceptions of public health nurses and allied childbirth educators.Journal of education and health promotion · 2021Article
- Is attending birth dying out? Trends in obstetric care provision among primary care physicians in British Columbia.Canadian family physician Medecin de famille canadien · 2019Article
- Cesarean delivery rates among family physicians versus obstetricians: a population-based cohort study using instrumental variable methods.CMAJ open · 2017Article
- Doula Services Within a Healthy Start Program: Increasing Access for an Underserved Population.Maternal and child health journal · 2017Article
- An evaluation of Interprofessional group antenatal care: a prospective comparative study.BMC pregnancy and childbirth · 2017Article
- An Approach to measuring Integrated Care within a Maternity Care System: Experiences from the Maternity Care Network Study and the Dutch Birth Centre Study.International journal of integrated care · 2017Article
- Article
- Community Care in Action: Scaling Doula Support Through a Health Department-Community Partnership.Health equityArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of physicians providing maternity care in Canada is decreasing, and the rate of cesarean delivery is increasing. We evaluated the effect on perinatal outcomes of an interdisciplinary program designed to promote physiologic birth and encourage active involvement of women and their families in maternity care.
methodsWe conducted a retrospective cohort study involving 1238 women who attended the South Community Birth Program in Vancouver, Canada, from April 2004 to October 2010. The program offers comprehensive, collaborative, interdisciplinary care from family physicians, midwives, community health nurses and doulas to a multiethnic, low-income population. A comparison group, matched for neighbourhood of residence, maternal age, parity and gestational age at delivery, comprised 1238 women receiving standard care in community-based family physician, obstetrician and midwife practices. The primary outcome was the proportion of women who underwent cesarean delivery.
resultsCompared with women receiving standard care, those in the birth program were more likely to be delivered by a midwife (41.9% v. 7.4%, p < 0.001) instead of an obstetrician (35.5% v. 69.6%, p < 0.001). The program participants were less likely than the matched controls to undergo cesarean delivery (relative risk [RR] 0.76, 95% confidence interval [CI] 0.68-0.84) and, among those with a previous cesarean delivery, more likely to plan a vaginal birth (RR 3.22, 95% CI 2.25-4.62). Length of stay in hospital was shorter in the program group for both the mothers (mean ± standard deviation 50.6 ± 47.1 v. 72.7 ± 66.7 h, p < 0.001) and the newborns (47.5 ± 92.6 v. 70.6 ± 126.7 h, p < 0.001). Women in the birth program were more likely than the matched controls to be breastfeeding exclusively at discharge (RR 2.10, 95% CI 1.85-2.39).
interpretationWomen attending a collaborative program of interdisciplinary maternity care were less likely to have a cesarean delivery, had shorter hospital stays on average and were more likely to breastfeed exclusively than women receiving standard care.
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