ArticleBMC pregnancy and childbirth2013
Duration and urgency of transfer in births planned at home and in freestanding midwifery units in England: secondary analysis of the birthplace national prospective cohort study.
Article in BMC pregnancy and childbirth, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 40 citations in OpenAlex.
- Maternity service reconfigurations for intrapartum and postnatal midwifery staffing shortages: modelling of low-risk births in England.BMJ open · 2022Article
- Exploring how pregnant women in a remote northern community select a delivery location.Canadian family physician Medecin de famille canadien · 2022Article
- Access to Healthcare for Minors: An Ethical Analysis of Judgments of the European Court of Human Rights.Healthcare (Basel, Switzerland) · 2021Article
- Modelling the cost of place of birth: a pathway analysis.BMC health services research · 2021Article
- Client Experience with the Ontario Birth Center Demonstration Project.Journal of midwifery & women's health · 2021Article
- Outcomes for the First Year of Ontario's Birth Center Demonstration Project.Journal of midwifery & women's health · 2018Article
- The Integration of Ontario Birth Centers into Existing Maternal-Newborn Services: Health Care Provider Experiences.Journal of midwifery & women's health · 2018Article
- Defining and describing birth centres in the Netherlands - a component study of the Dutch Birth Centre Study.BMC pregnancy and childbirth · 2017Article
- Are freestanding midwifery units a safe alternative to obstetric units for low-risk, primiparous childbirth? An analysis of effect differences by parity in a matched cohort study.BMC pregnancy and childbirth · 2017Article
- Maternal and perinatal outcomes in women planning vaginal birth after caesarean (VBAC) at home in England: secondary analysis of the Birthplace national prospective cohort study.BJOG : an international journal of obstetrics and gynaecology · 2016Article
- Immersion in water for pain relief and the risk of intrapartum transfer among low risk nulliparous women: secondary analysis of the Birthplace national prospective cohort study.BMC pregnancy and childbirth · 2014Article
- Freestanding Midwife-Led Units: A Narrative Review.Iranian journal of nursing and midwifery researchReview
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundIn England, there is a policy of offering healthy women with straightforward pregnancies a choice of birth setting. Options may include home or a freestanding midwifery unit (FMU). Transfer rates from these settings are around 20%, and higher for nulliparous women. The duration of transfer is of interest because of the potential for delay in access to specialist care and is also of concern to women. We aimed to estimate the duration of transfer in births planned at home and in FMUs and explore the effects of distance and urgency on duration.
methodsThis was a secondary analysis of data collected in a national prospective cohort study including 27,842 'low risk' women with singleton, term, 'booked' pregnancies, planning birth in FMUs or at home in England from April 2008 to April 2010. We described transfer duration using the median and interquartile range, for all transfers and those for reasons defined as potentially urgent or non-urgent, and used cumulative distribution curves to compare transfer duration by urgency. We explored the effect of distance for transfers from FMUs and described outcomes in women giving birth within 60 minutes of transfer.
resultsThe median overall transfer time, from decision to transfer to first OU assessment, was shorter in transfers from home compared with transfers from FMUs (49 vs 60 minutes; p < 0.001). The median duration of transfers before birth for potentially urgent reasons (home 42 minutes, FMU 50 minutes) was 8-10 minutes shorter compared with transfers for non-urgent reasons. In transfers for potentially urgent reasons, the median overall transfer time from FMUs within 20 km of an OU was 47 minutes, increasing to 55 minutes from FMUs 20-40 km away and 61 minutes in more remote FMUs. In women who gave birth within 60 minutes after transfer, adverse neonatal outcomes occurred in 1-2% of transfers.
conclusionsTransfers from home or FMU commonly take up to 60 minutes from decision to transfer, to first assessment in an OU, even for transfers for potentially urgent reasons. Most transfers are not urgent and emergencies and adverse outcomes are uncommon, but urgent transfer is more likely for nulliparous women.
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