Freestanding midwifery units: Maternal and neonatal outcomes following transfer

Monk, AR; Grigg, CP; Foureur, M; Tracy, M; Tracy, SK

Freestanding midwifery units: Maternal and neonatal outcomes following transfer

Monk, AR

Grigg, CP Foureur, M

Tracy, M Tracy, SK

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Publication Type:: Journal Article
Citation:: Midwifery, 2017, 46 pp. 24 - 28
Issue Date:: 2017-03-01

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Field	Value	Language
dc.contributor.author	Monk, AR https://orcid.org/0000-0002-0387-0496	en_US
dc.contributor.author	Grigg, CP	en_US
dc.contributor.author	Foureur, M https://orcid.org/0000-0002-0454-0165	en_US
dc.contributor.author	Tracy, M	en_US
dc.contributor.author	Tracy, SK	en_US
dc.date.available	2017-01-09	en_US
dc.date.issued	2017-03-01	en_US
dc.identifier.citation	Midwifery, 2017, 46 pp. 24 - 28	en_US
dc.identifier.issn	0266-6138	en_US
dc.identifier.uri	http://hdl.handle.net/10453/124361
dc.description.abstract	© 2017 Elsevier Ltd Background the viability of freestanding midwifery units in Australia is restricted, due to concerns over their safety, particularly for women and babies who, require transfer. Aim to compare the maternal and neonatal birth outcomes of women who planned, to give birth at freestanding midwifery units and subsequently, transferred to a tertiary maternity unit to the maternal and neonatal, outcomes of a low-risk cohort of women who planned to give birth in, tertiary maternity unit. Methods a descriptive study compared two groups of women with low-risk singleton, pregnancies who were less than 28 weeks pregnant at booking: women who, planned to give birth at a freestanding midwifery unit (n=494) who, transferred to a tertiary maternity unit during the antenatal, intrapartum or postnatal periods (n=260) and women who planned to give, birth at a tertiary maternity unit (n=3157). Primary outcomes were mode, of birth, Apgar score of less than 7 at 5 minutes and admission to, special care nursery or neonatal intensive care. Key findings the proportion of women who experienced a caesarean section was lower, among the freestanding midwifery unit women who transferred during the, intrapartum/postnatal period compared to women in the tertiary maternity, unit group (16.1% versus 24.8% respectively). Other outcomes were, comparable between the cohorts. Rates of primary outcomes in relation to, stage of transfer varied when stratified by parity. discussion these descriptive results support the provision of care in freestanding, midwifery units as an alternative to tertiary maternity units for women, with low risk pregnancies at the time of booking. A larger study, powered, to determine statistical significance of any differences in outcomes, is, required.	en_US
dc.relation.ispartof	Midwifery	en_US
dc.relation.isbasedon	10.1016/j.midw.2017.01.006	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Apgar Score	en_US
dc.subject.mesh	Transfer (Psychology)	en_US
dc.subject.mesh	Midwifery	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Birthing Centers	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Patient Handoff	en_US
dc.subject.mesh	Patient Outcome Assessment	en_US
dc.subject.mesh	Transfer, Psychology	en_US
dc.title	Freestanding midwifery units: Maternal and neonatal outcomes following transfer	en_US
dc.type	Journal Article
utslib.citation.volume	46	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	46	en_US

Abstract:

© 2017 Elsevier Ltd Background the viability of freestanding midwifery units in Australia is restricted, due to concerns over their safety, particularly for women and babies who, require transfer. Aim to compare the maternal and neonatal birth outcomes of women who planned, to give birth at freestanding midwifery units and subsequently, transferred to a tertiary maternity unit to the maternal and neonatal, outcomes of a low-risk cohort of women who planned to give birth in, tertiary maternity unit. Methods a descriptive study compared two groups of women with low-risk singleton, pregnancies who were less than 28 weeks pregnant at booking: women who, planned to give birth at a freestanding midwifery unit (n=494) who, transferred to a tertiary maternity unit during the antenatal, intrapartum or postnatal periods (n=260) and women who planned to give, birth at a tertiary maternity unit (n=3157). Primary outcomes were mode, of birth, Apgar score of less than 7 at 5 minutes and admission to, special care nursery or neonatal intensive care. Key findings the proportion of women who experienced a caesarean section was lower, among the freestanding midwifery unit women who transferred during the, intrapartum/postnatal period compared to women in the tertiary maternity, unit group (16.1% versus 24.8% respectively). Other outcomes were, comparable between the cohorts. Rates of primary outcomes in relation to, stage of transfer varied when stratified by parity. discussion these descriptive results support the provision of care in freestanding, midwifery units as an alternative to tertiary maternity units for women, with low risk pregnancies at the time of booking. A larger study, powered, to determine statistical significance of any differences in outcomes, is, required.

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http://hdl.handle.net/10453/124361