Birth outcome in a caseload study conducted in a rural area of Sweden-a register based study
| Autor: | Birgitta Larsson, Ingegerd Hildingsson, Annika Karlström, Christine Rubertsson |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Register based
Adult Postnatal Care Rural Population medicine.medical_specialty Midwifery Outcome (game theory) Caseload midwifery Pregnancy Maternity and Midwifery medicine Electronic Health Records Humans Registries Sweden Labor Obstetric business.industry Infant Newborn Parturition Obstetrics and Gynecology Prenatal Care Continuity of Patient Care medicine.disease Family medicine Continuity of care Female Rural area Birth records business |
| Zdroj: | Sexualreproductive healthcare : official journal of the Swedish Association of Midwives. 24 |
| ISSN: | 1877-5764 |
| Popis: | Continuity models of midwifery care are rare in Sweden, despite its well-known positive effects. The aim was to describe pregnancy and birth outcome in women participating in a continuity of care project in a rural area of Sweden.A register-based study of 266 women recruited to the project and a control group of 125 women from the same catchment area. Midwives provided antenatal care and were on-call 7 a.m. to 11 p.m. for birth. Data were collected from the antenatal and birth records. Crude and adjusted odds ratios with 95% confidence intervals were calculated between women in the project and the control group.There were more primiparous women and highly educated women recruited to the project, and fewer foreign-born and single women, compared to the control group. Women in the project met more midwives and were less likely to have a pregnancy complication. During intrapartum care, women recruited to the project were less likely to need labour augmentation and less likely to have an instrumental vaginal birth and elective caesarean section. They had fewer second degree perineal tears and were more likely to fully breastfeed at discharge. No differences were found in neonatal outcome. The continuity of a known midwife at birth was quite low.This study shows that women self-recruited to a continuity of care project in a rural area of Sweden had a higher rate of normal births. There were few differences if having a known midwife or not. Long distances to hospital and lack of staff affected the level of continuity. |
| Databáze: | OpenAIRE |
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