Improving birth outcomes for women who are substance using or have mental illness: a Canadian cohort study comparing antenatal midwifery and physician models of care for women of low socioeconomic position

Autor:	Daphne N. McRae, Nazeem Muhajarine, Patricia A. Janssen
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Midwifery Mental health Substance use Preterm birth Small-for-gestational-age Socioeconomic position Gynecology and obstetrics RG1-991
Zdroj:	BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-11 (2019)
Druh dokumentu:	article
ISSN:	1471-2393
DOI:	10.1186/s12884-019-2428-y
Popis:	Abstract Background Some observational studies have shown improved birth outcomes for women of low socioeconomic position (SEP) receiving antenatal midwifery versus physician care. To understand for whom and under what circumstances midwifery care is associated with better birth outcomes we examined whether psychosocial risk including substance use, mental illness, social assistance, residence in a neighbourhood of low/moderate SEP, and teen maternal age modified the association between model of care (midwifery versus physician) and small-for-gestational-age (SGA) or preterm birth (PTB) for women of low SEP. Methods For this retrospective cohort study, maternity data from the British Columbia Perinatal Data Registry were linked with Medical Services Plan billing data. We report adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for SGA birth (< the 10th percentile) and PTB (
Databáze:	Directory of Open Access Journals
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