Research Issues in the Assessment of Birth Settings Report of a Study (1982) / Chapter Skim
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AppendixA: Review of the Safety of Maternity Care in Different Birth Locations
AppendixA: Review of the Safety of Maternity Care in Different Birth Locations
Pages 67-79
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From page 67... ...
Birth survey, in which information was collected on 39,864 births occurring in cardiff from 1965 to 1973. During this period hospital deliveries became routine practice (home deliveries decreased from 1 in 5 to 1 in 100)
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From page 68... ...
This study is an example of a well-designed prospective study with random assignment to experimental and control groups. UNCONVENTIONAL HOSPITAL MATERNITY CARE Most of the literature on unconventional hospital maternity care (e.g., alternative birth centers or birth rooms)
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From page 69... ...
studied 500 women giving birth at the ABC located at the University of california at Davis Medical Center and compared them to a control group of 500 women who gave birth in the conventional delivery room at the same institution. Control women were of the same low-risk status and socioeconomic class and were offered similar antenatal childbirth education and care.
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From page 70... ...
Statistical analysis should be used to investigate this hypothesis. NONHOSPITAL MATERNITY CARE: BIRTH CENTERS Few studies evaluate the safety of out-of-hospital maternity care.
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From page 71... ...
There were no statistically significant differences in the numbers of neonatal deaths that occurred in the ABC and in the hospital groups, but the ABCs had proportionately fewer deaths. This is the first national study of nonhospital birth centers operated by certified nurse-midwives with physician and hospital backup.
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From page 72... ...
NONHOSPITAL MATERNITY CARE: HOME BIRTHS Home birth is the aspect of nonconventional maternity care that generates the most concern among professionals and the most controversy between providers of care and consumers. The following discussion is limited to studies addressing the physical safety of home births.
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From page 73... ...
Infants born outside the hospital were heavier and the neonatal mortality rate for this group was lower, but the fetal death rate was higher. This study provides detailed comparisons of out-of-hospital births with all state births.
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From page 74... ...
A detailed description of the assumptions and criteria used in assigning planning status is presented. The authors compare sociodemographic characteristics of nonhospital births with those of total state births and control for birth weight when comparing neonatal mortality rates between the various groups.
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From page 75... ...
The authors discuss perinatal death rates by place of booking but not by place of delivery. Had they compared perinatal mortality rates by place of booking with those by place of birth and had they found a statistically significant difference, this could have indicated that the health system was functioning well.
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From page 76... ...
compared medical records for 1,046 home births in northern California and in Madison, Wisconsin, to an equal number of births from two community hospitals in Madison, Wisconsin. The two groups were pair-matched on maternal age, education, parity, gestational age, major risk factors, and total risk score.
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From page 77... ...
1979. Evaluation Study of an Alternative Birthing Center.
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From page 78... ...
1977. Outcomes of elective home births: A series of 1,146 cases.
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From page 79... ...
1980. Study of alternative birthing sites.
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