Research Issues in the Assessment of Birth Settings Report of a Study (1982) / Chapter Skim
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Appendix C: Freestanding Birth Centers
Appendix C: Freestanding Birth Centers
Pages 91-101
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From page 91... ...
• primary care provided by CRMB with physician and hospital backup • a philosophy of minimal obstetrical or neonatal intervention, such as not using either forceps or oxytocin induction or augmentation of labor Tables 1 and 2 indicate the basic services provided and the obstetrical technologies available within each center. This Appendix also contains a review of the literature on freestanding birth centers and suggests the types of information that should be obtained if useful comparisons are to be made among freestanding birth centers and other types of birth settings.
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From page 92... ...
80UJICB1 Bannetta, 1981. CBARAC'l'BRISTICS OF STUDIES EXPLORING FREESTANDING BIRTH CENTERS ~e freestanding birth centers exaained in the studies su.aarized below all fulfilled certain criteriaa ~ey were all homelike facilities in which five or more births occurred each year, and they had no adainistrative or physical connections to a hospital (other than the possible provision of backup services)
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From page 93... ...
• studies of freestanding birth centeraa hospital and FBC versus home birth case-comparison studies, with and without controls for various intervening factors (Bennetts 1981J Bennetts and Lubic, 1982J Beman and Beman, 1978J Balle, 1980J Shy et al., 1980) • out-of-pocket coat analysis of FBC care (Lubic, 1979)
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From page 94... ...
Yes Yes£ No No Yes£ Yes Southwest Maternity Center, Albuqurque, N.M. Yes No No No Yes£ Yes Birth Center Lucinia, Cottage Grove, Oreg.
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From page 95... ...
1he formats of these studies are summarized in Table 3 and are organized by category, type of study, primary care provider, and year of study completion. ROW ROUTINE DATA COLLECTION CAN AID MEDICAL, SOCIODEMOGRAPRIC, AND ADMINISTRATIVE COMPARISONS OF BIRTH SETTINGS The following observations and suggestions for research on birth settings are based on a review of the literature on freestanding birth centers.
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From page 96... ...
and Lay aidwife, Inn Diatr let, October 1969 to 2,277 riret 2,277 woaan Medical-obatetrical 1979 hoapital phyaician the hther- Deceaber 1972 ragiatered for care (unpubliahed) de~~eriptive land a vith gynecologiet caae atudy in Inn Diatrict llcCallua, rae deiiCriptive Lay aidwife El Paao, 'fexaa Auguat 1976 to 560 Firat 560 woaen who Medical~tetrical 1979 cue atudy Deceaber 1978 ragietered for care at rae Scott and PIIC, hoae , and Certified nurM Sviae lloae, 1976 to 1981 300 riret 300 birthe Medical-obltetrical Pittenger, hoepital aidvife, phyaician Dragon at center 1981 deiiCripti ve ( unpubliehedl caM etudy Ber-n and rae and hoepital Nurae, phyeician Lo8Angelee, 1974 to 1976 I'1IC • 160 Medical-obetetrical a.r .
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From page 97... ...
birth cer tificatee and follow back queetionnairee Lubic, OUt-of-pocket Ce1ttified nune Mev York City 1979 Not Not applicable Pee for eeltvices 1979 c~t coapar ieon aidwife applicable rendered of rae to local boepitale Pulleitton, Bx poet facto Celttified nuree Reading, 1971 Hoae/PBC • 33 Convenience el8plee Attitudinal variablee 1911 analytical de- aidwife Penneylvania hoepital • 33 of prenatal voeen, related to choice of ecriptive etudy i.e. thoee actually birth eite (unpubliebed)
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From page 98... ...
year of last menstrual period 21. perineal state following delivery 22.
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From page 99... ...
variables reflecting innovations in delivery of maternity care ~ allow valid comparisons, the obstetrical and medical risk status of patients at the onset of PBC and physician-hospital care should be similar and well defined. 1he use of a published risk screening instrument to define risk is suggested -- e.g., Maternity Center Association's (MCA)
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From page 100... ...
number of patients seen for routine infant care exclusive of postnatal infant exaaination j. number of women breastfeeding four to six weeks postpartua REFERENCES Bennetts, A
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From page 101... ...
Paper presented at the Western Regional International Childbirth Education Association Conference, August 8, 1981.
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