Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial
Objective: To investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within the same hospital. Design: Randomised controlled trial. Setting: Department of Obstetrics and Gynaecology, Østfold Hospi...
Published in: | BJOG: An International Journal of Obstetrics & Gynaecology |
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Language: | English |
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Blackwell Science Ltd.
2011
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Online Access: | https://hdl.handle.net/10037/4159 https://doi.org/10.1111/j.1471-0528.2011.03043.x |
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ftunivtroemsoe:oai:munin.uit.no:10037/4159 2023-05-15T18:34:54+02:00 Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial Bernitz, Stine Rolland, Rune Blix, Ellen Jacobsen, Morten Sjøborg, Katrine Dønvold Øian, Pål 2011 https://hdl.handle.net/10037/4159 https://doi.org/10.1111/j.1471-0528.2011.03043.x eng eng Blackwell Science Ltd. British Journal of Obstetrics and Gynecology 118(2011) nr. 11 s. 1357-1364 FRIDAID 851083 doi:10.1111/j.1471-0528.2011.03043.x 1470-0328 https://hdl.handle.net/10037/4159 URN:NBN:no-uit_munin_3878 openAccess VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 Journal article Tidsskriftartikkel Peer reviewed 2011 ftunivtroemsoe https://doi.org/10.1111/j.1471-0528.2011.03043.x 2021-06-25T17:53:16Z Objective: To investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within the same hospital. Design: Randomised controlled trial. Setting: Department of Obstetrics and Gynaecology, Østfold Hospital Trust, Tromsø, Norway. Population: A total of 1111 women assessed to be at low risk at onset of spontaneous labour. Methods: Randomisation into one of three birth units: the special unit; the normal unit; or the midwife-led unit. Main outcome measures: Total operative delivery rate, augmentation, pain relief, postpartum haemorrhage, sphincter injuries and intrapartum transfer, Apgar score <7 at 5 minutes, metabolic acidosis and transfer to neonatal intensive care unit. Results: There were no significant differences in total operative deliveries between the three units: 16.3% in the midwife-led unit; 18.0% in the normal unit; and 18.8% in the special unit. There were no significant differences in postpartum haemorrhage, sphincter injuries or in neonatal outcomes. There were statistically significant differences in augmentation (midwife-led unit versus normal unit RR 0.73, 95% CI 0.59–0.89; midwife-led unit versus special unit RR 0.69, 95% CI 0.56–0.86), in epidural analgesia (midwife-led unit versus normal unit RR 0.68, 95% CI 0.52–0.90; midwife-led unit versus special unit RR 0.64, 95% CI 0.47–0.86) and in acupuncture (midwife-led unit versus normal unit RR 1.45, 95% CI 1.25–1.69; midwife-led unit versus special unit RR 1.45, 95% CI 1.22–1.73). Conclusions: The level of birth care does not significantly affect the rate of operative deliveries in low-risk women without any expressed preference for level of birth care. Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Norway Tromsø BJOG: An International Journal of Obstetrics & Gynaecology 118 11 1357 1364 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 |
spellingShingle |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 Bernitz, Stine Rolland, Rune Blix, Ellen Jacobsen, Morten Sjøborg, Katrine Dønvold Øian, Pål Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial |
topic_facet |
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756 |
description |
Objective: To investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within the same hospital. Design: Randomised controlled trial. Setting: Department of Obstetrics and Gynaecology, Østfold Hospital Trust, Tromsø, Norway. Population: A total of 1111 women assessed to be at low risk at onset of spontaneous labour. Methods: Randomisation into one of three birth units: the special unit; the normal unit; or the midwife-led unit. Main outcome measures: Total operative delivery rate, augmentation, pain relief, postpartum haemorrhage, sphincter injuries and intrapartum transfer, Apgar score <7 at 5 minutes, metabolic acidosis and transfer to neonatal intensive care unit. Results: There were no significant differences in total operative deliveries between the three units: 16.3% in the midwife-led unit; 18.0% in the normal unit; and 18.8% in the special unit. There were no significant differences in postpartum haemorrhage, sphincter injuries or in neonatal outcomes. There were statistically significant differences in augmentation (midwife-led unit versus normal unit RR 0.73, 95% CI 0.59–0.89; midwife-led unit versus special unit RR 0.69, 95% CI 0.56–0.86), in epidural analgesia (midwife-led unit versus normal unit RR 0.68, 95% CI 0.52–0.90; midwife-led unit versus special unit RR 0.64, 95% CI 0.47–0.86) and in acupuncture (midwife-led unit versus normal unit RR 1.45, 95% CI 1.25–1.69; midwife-led unit versus special unit RR 1.45, 95% CI 1.22–1.73). Conclusions: The level of birth care does not significantly affect the rate of operative deliveries in low-risk women without any expressed preference for level of birth care. |
format |
Article in Journal/Newspaper |
author |
Bernitz, Stine Rolland, Rune Blix, Ellen Jacobsen, Morten Sjøborg, Katrine Dønvold Øian, Pål |
author_facet |
Bernitz, Stine Rolland, Rune Blix, Ellen Jacobsen, Morten Sjøborg, Katrine Dønvold Øian, Pål |
author_sort |
Bernitz, Stine |
title |
Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial |
title_short |
Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial |
title_full |
Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial |
title_fullStr |
Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial |
title_full_unstemmed |
Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial |
title_sort |
is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial |
publisher |
Blackwell Science Ltd. |
publishDate |
2011 |
url |
https://hdl.handle.net/10037/4159 https://doi.org/10.1111/j.1471-0528.2011.03043.x |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
British Journal of Obstetrics and Gynecology 118(2011) nr. 11 s. 1357-1364 FRIDAID 851083 doi:10.1111/j.1471-0528.2011.03043.x 1470-0328 https://hdl.handle.net/10037/4159 URN:NBN:no-uit_munin_3878 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1111/j.1471-0528.2011.03043.x |
container_title |
BJOG: An International Journal of Obstetrics & Gynaecology |
container_volume |
118 |
container_issue |
11 |
container_start_page |
1357 |
op_container_end_page |
1364 |
_version_ |
1766219901819682816 |