Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery
Background. As small obstetrical departments may not be able to give second‐level perinatal care, the delivery unit at Lofoten hospital was for the years 1997–98 reorganized to a modified midwife managed unit. Women at low obstetrical risk were delivered at this unit and women at high risk were refe...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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Online Access: | http://dx.doi.org/10.1034/j.1600-0412.2001.080003206.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1034%2Fj.1600-0412.2001.080003206.x https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1034/j.1600-0412.2001.080003206.x |
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crwiley:10.1034/j.1600-0412.2001.080003206.x 2024-06-02T08:10:09+00:00 Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery Holt, Jan Vold, Ingar Nikolai Backe, Bjørn Johansen, May Vollnes Øian, Pål 2001 http://dx.doi.org/10.1034/j.1600-0412.2001.080003206.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1034%2Fj.1600-0412.2001.080003206.x https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1034/j.1600-0412.2001.080003206.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Acta Obstetricia et Gynecologica Scandinavica volume 80, issue 3, page 206-212 ISSN 0001-6349 1600-0412 journal-article 2001 crwiley https://doi.org/10.1034/j.1600-0412.2001.080003206.x 2024-05-03T11:50:08Z Background. As small obstetrical departments may not be able to give second‐level perinatal care, the delivery unit at Lofoten hospital was for the years 1997–98 reorganized to a modified midwife managed unit. Women at low obstetrical risk were delivered at this unit and women at high risk were referred to the central hospital. We assessed the effectiveness of the risk selection. Material and methods. The study was a prospective, pragmatic, population‐based trial. Desired outcome was defined as a non‐operative delivery at 35–42 weeks gestational age giving an infant not needing resuscitation. Intermediate outcomes: Operative deliveries, infants transferred to neonatal intensive care unit and infants diverging from normal. The intended place of delivery was ultimately decided at admittance to the midwife managed unit. Results. Of the 628 women in study 435 (69.3%) gave birth at the midwife managed unit, 152 (24.2%) were selected to be delivered at the central hospital and 41 (6.5%) were transferred to the central hospital after admittance to the midwife managed unit. Desired outcome was recorded in 94% of the deliveries at the midwife managed unit as compared to 50.3% at the central hospital. Women who intended to be delivered at the midwife managed unit, needed fewer operative deliveries and relatively few infants were transferred to the neonatal intensive care unit or diverged from normal. Conclusions. As nearly 70% of the births occurred at the midwife managed unit and 94% of these deliveries had a desired outcome, this indicates an effective selection process. This model might be an alternative to centralization of births in sparsely population areas. Article in Journal/Newspaper Lofoten Wiley Online Library Lofoten Acta Obstetricia et Gynecologica Scandinavica 80 3 206 212 |
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English |
description |
Background. As small obstetrical departments may not be able to give second‐level perinatal care, the delivery unit at Lofoten hospital was for the years 1997–98 reorganized to a modified midwife managed unit. Women at low obstetrical risk were delivered at this unit and women at high risk were referred to the central hospital. We assessed the effectiveness of the risk selection. Material and methods. The study was a prospective, pragmatic, population‐based trial. Desired outcome was defined as a non‐operative delivery at 35–42 weeks gestational age giving an infant not needing resuscitation. Intermediate outcomes: Operative deliveries, infants transferred to neonatal intensive care unit and infants diverging from normal. The intended place of delivery was ultimately decided at admittance to the midwife managed unit. Results. Of the 628 women in study 435 (69.3%) gave birth at the midwife managed unit, 152 (24.2%) were selected to be delivered at the central hospital and 41 (6.5%) were transferred to the central hospital after admittance to the midwife managed unit. Desired outcome was recorded in 94% of the deliveries at the midwife managed unit as compared to 50.3% at the central hospital. Women who intended to be delivered at the midwife managed unit, needed fewer operative deliveries and relatively few infants were transferred to the neonatal intensive care unit or diverged from normal. Conclusions. As nearly 70% of the births occurred at the midwife managed unit and 94% of these deliveries had a desired outcome, this indicates an effective selection process. This model might be an alternative to centralization of births in sparsely population areas. |
format |
Article in Journal/Newspaper |
author |
Holt, Jan Vold, Ingar Nikolai Backe, Bjørn Johansen, May Vollnes Øian, Pål |
spellingShingle |
Holt, Jan Vold, Ingar Nikolai Backe, Bjørn Johansen, May Vollnes Øian, Pål Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery |
author_facet |
Holt, Jan Vold, Ingar Nikolai Backe, Bjørn Johansen, May Vollnes Øian, Pål |
author_sort |
Holt, Jan |
title |
Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery |
title_short |
Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery |
title_full |
Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery |
title_fullStr |
Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery |
title_full_unstemmed |
Child births in a modified midwife managed unit: Selection and transfer according to intended place of delivery |
title_sort |
child births in a modified midwife managed unit: selection and transfer according to intended place of delivery |
publisher |
Wiley |
publishDate |
2001 |
url |
http://dx.doi.org/10.1034/j.1600-0412.2001.080003206.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1034%2Fj.1600-0412.2001.080003206.x https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1034/j.1600-0412.2001.080003206.x |
geographic |
Lofoten |
geographic_facet |
Lofoten |
genre |
Lofoten |
genre_facet |
Lofoten |
op_source |
Acta Obstetricia et Gynecologica Scandinavica volume 80, issue 3, page 206-212 ISSN 0001-6349 1600-0412 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1034/j.1600-0412.2001.080003206.x |
container_title |
Acta Obstetricia et Gynecologica Scandinavica |
container_volume |
80 |
container_issue |
3 |
container_start_page |
206 |
op_container_end_page |
212 |
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1800755981989183488 |