Comparison of Labor and Delivery Care Provided by Certified Nurse-Midwives and Physicians: A Systematic Review, 1990 to 2008

Johantgen, Meg; Fountain, Lily; Zangaro, George A.; Newhouse, Robin; Stanik-Hutt, Julie; White, Kathleen M.

doi:10.1016/j.whi.2011.06.005

Cited by 72 publications

(75 citation statements)

References 23 publications

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“…That is, in addition to any pre-existing risk factors such as birth weight or gestational age, the clinical decisions made during labour and the practice of the labour ward had an effect on that immediate transition to extrauterine life. A recent systematic review of deliveries in the US found no significant difference in the prevalence of low Apgar scores in deliveries by doctors or by nurse-midwives [23]. In our study, among the uncomplicated vaginal deliveries there was a clear, independent association between the qualification of the person conducting the delivery (doctor or nurse-midwife) and Apgar recovery.…”

Section: Discussioncontrasting

confidence: 40%

Factors associated with recovery from 1 minute Apgar score <4 in live, singleton, term births: an analysis of Malaysian National Obstetrics Registry data 2010–2012

Jeganathan

Karalasingam

Hussein

et al. 2017

BMC Pregnancy Childbirth

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BackgroundThe neonatal Apgar score at 5 min has been found to be a better predictor of outcomes than the Apgar score at 1 min. A baby, however, must pass through the first minute of life to reach the fifth. There has been no research looking at predictors of recovery (Apgar scores ≥7) by 5 min in neonates with 1 min Apgar scores <4.MethodsAn analysis of observational data was conducted using live, singleton, term births recorded in the Malaysian National Obstetrics Registry between 2010 and 2012. A total of 272,472 live, singleton, term births without congential anomalies were recorded, of which 1,580 (0.59%) had 1 min Apgar scores <4. Descriptive methods and bi- and multi-variable logistic regression were used to identify risk factors associated with recovery (5 min Apgar score ≥7) from 1 min Apgar scores <4.ResultsLess than 1% of births have a 1 min Apgar scores <4. Only 29.4% of neonates with 1 min Apgar scores <4 recover to a 5 min Apgar score ≥7. Among uncomplicated vaginal deliveries, after controlling for other factors, deliveries by a doctor of neonates with a 1 min Apgar score <4 had odds of recovery 2.4 times greater than deliveries of neonates with a 1 min Apgar score <4 by a nurse-midwife. Among deliveries of neonates with a 1 min Apgar score <4 by doctors, after controlling for other factors, planned and unplanned CS was associated with better odds of recovery than uncomplicated vaginal deliveries. Recovery was also associated with maternal obesity, and there was some ethnic variation – in the adjusted analysis indigenous (Orang Asal) Malaysians had lower odds of recovery.ConclusionsA 1 min Apgar score <4 is relatively rare, and less than a third recover by five minutes. In those newborns the qualification of the person performing the delivery and the type of delivery are independent predictors of recovery as is maternal BMI and ethnicity. These are associations only, not necessarily causes, and they point to potential areas of research into health systems factors in the labour room, as well as possible biological and cultural factors.

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Section: Discussioncontrasting

confidence: 40%

Factors associated with recovery from 1 minute Apgar score <4 in live, singleton, term births: an analysis of Malaysian National Obstetrics Registry data 2010–2012

Jeganathan

Karalasingam

Hussein

et al. 2017

BMC Pregnancy Childbirth

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“…Access to midwifery care has also been shown to be associated with lower cesarean delivery rates, although data are sparse. (13–15)…”

Section: Introductionmentioning

confidence: 99%

The Association of Expanded Access to a Collaborative Midwifery and Laborist Model With Cesarean Delivery Rates

Rosenstein

Nijagal

Nakagawa³

et al. 2015

Obstetrics &Amp; Gynecology

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Objective To examine the association between expanded access to collaborative midwifery and laborist services and cesarean delivery rates. Methods This was a prospective cohort study at a community hospital between 2005 and 2014. In 2011, privately insured women changed from a private practice model to one that included 24-hour midwifery and laborist coverage. Primary cesarean delivery rates among nulliparous, term, singleton, vertex women and vaginal birth after cesarean delivery (VBAC) rates among women with prior cesarean were compared before and after the change. Multivariable logistic regression models estimated the effects of the change on the odds of primary cesarean and VBAC; an interrupted time series analysis estimated the annual rates before and after the expansion. Results There were 3,560 nulliparous term singleton vertex deliveries and 1,324 deliveries with prior cesarean during the study period; 45% were among privately insured women whose care model changed The primary cesarean rate among these privately insured women decreased after the change, from 31.7% to 25.0% (p=0.005, adjusted odds ratio (aOR) 0.56 (95% CI 0.39 – 0.81). The interrupted time series analysis estimated a 7% drop in the primary cesarean rate in the year after the expansion, and a decrease of 1.7% per year thereafter. The VBAC rate increased from 13.3% before to 22.4% afterward; aOR 2.03 (95%CI 1.08 – 3.80). Conclusion The change from a private practice to a collaborative midwifery–laborist model was associated with a decrease in primary cesarean rates and an increase in VBAC rates.

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“…Así mismo, existen varios instrumentos (46 -49) desarrollados en torno a la transición de convertirse en madre que pueden favorecer el quehacer autónomo de la enfermera en los programas de control prenatal, parto y postparto -más allá de los aspectos biológicos-y evidenciar óptimos resultados, como lo sugiere Johantgen et al (50) en su revisión sistemática acerca de los efectos de la enfermera de práctica avanzada comparada con los profesionales médicos, en desenlaces como cuidado del trabajo de parto, uso de analgesia epidural, realización de episiotomía, resultado de Apgar del recién nacido, peso al nacer y admisiones al servicio de cuidados intensivos neonatales.…”

Section: Articulación De La Salud Sexual Y Reproductiva Y La Enfermerunclassified

La salud sexual y reproductiva como área para desarrollar la enfermería de práctica avanzada

Osorio-Castaño

2017

rev. cienc. cuidad.

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Para citar este artículo / To reference this article / Para citar este artigo/ Osorio-Castaño JH. La salud sexual y reproductiva como área para desarrollar la enfermería de práctica avanzada. Rev. cienc. cuidad. 2017; 14(2): 130-143. ResumenIntroducción: La enfermería de práctica avanzada implica el desarrollo de nuevos roles en la formación y práctica enfermera a partir del nivel de maestría, cuya esencia es la ampliación de los dominios de actuación con autonomía e independencia. Metodología: Revisión temática. Se realizó búsqueda en bases de datos Lilacs, Pubmed y EBSCO. Se utilizó como palabra clave enfermería de práctica avanzada, se limitó a los artículos publicados desde el año 2010 hasta el año 2016 en idioma inglés, español y portugués. Análisis: Resultados: La ley 266 de 1996 define la enfermería como como una profesión liberal. De otro lado, varias políticas, planes y programas en salud sexual y reproductiva manifiestan la necesidad de personal formado en estas temáticas y en componentes adicionales como la investigación y el liderazgo. Una oportunidad para el desarrollo de la autonomía y la independencia en enfermería es la práctica avanzada que favorezca la ampliación de los dominios de desempeño profesional y ayude a visibilizar el quehacer enfermero. Conclusión: La salud sexual y reproductiva puede ser un nicho propicio para el desarrollo de la enfermería de práctica avanzada en el marco de la atención primaria en salud siempre y cuando exista un marco político y regulatorio.Palabras clave: Atención primaria de salud, autonomía profesional, decreto ley. AbstractIntroduction: Advanced nursing practice implies the development of new roles in the nursing education and practice from a level of mastering whose essence is the extension of domains of action with autonomy and independence. Methodology: Thematic review. Research through databases Lilacs, Pubmed and EBSCO. Advanced nursing training was used as a keyword, search results were limited to the published articles from 2010 to 2016 in English, Spanish and Portuguese. Analysis: Results: The law 266 of 1996 defines nursing as a liberal profession. Moreover, various policies, plans and programs of sexual and reproductive health, express the necessity of personnel trained in these topics and in additional components such as research and leadership. An opportunity for the development of autonomy and independence in nursing is the advanced practice that promotes the extension of domains of professional performance and helps to make the nursing duties visible. Conclusion: Sexual and reproductive health may be a favorable niche for the development of advanced nursing training in the framework of primary health care as long as a policy and regulatory framework exists.

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Comparison of Labor and Delivery Care Provided by Certified Nurse-Midwives and Physicians: A Systematic Review, 1990 to 2008

Cited by 72 publications

References 23 publications

Factors associated with recovery from 1 minute Apgar score <4 in live, singleton, term births: an analysis of Malaysian National Obstetrics Registry data 2010–2012

Factors associated with recovery from 1 minute Apgar score <4 in live, singleton, term births: an analysis of Malaysian National Obstetrics Registry data 2010–2012

The Association of Expanded Access to a Collaborative Midwifery and Laborist Model With Cesarean Delivery Rates

La salud sexual y reproductiva como área para desarrollar la enfermería de práctica avanzada

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