Comparisons of outcomes of maternity care by obstetricians and certified nurse-midwives

Oakley, Deborah; Murray, Miranda; Murtland, Terri L.; Hayashi, Robert H.; Andersen, H. Frank; Mayes, Fran; Rooks, Judith P.

doi:10.1016/0029-7844(96)00278-5

Cited by 68 publications

(56 citation statements)

References 11 publications

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“…Evidence suggests that good midwifery practice benefits women (Oakley et al 1995;de Veer &Meijer 1996;Fullerton et al 1996;Oakley et al 1996;Tucker et al 1996;Law &Lam 1999), but accepting that midwives should be encouraged to practise to the full extent of their professional role is not always easy (Blais et al 1994;Cheyne et al 1995;de Veer &Meijer 1996;Fullerton et al 1996;Gau et al 2002;Hyde &Roche-Reid 2004). The evidence from the study suggests that it is imperative for midwives to utilise the European legislation to ensure that Belgium, a member state of the European Union, implements to the full Directive 80/155/EEC on the activities of the midwife.…”

Section: Discussionmentioning

confidence: 94%

Midwives’ perception of the intrapartum risk of healthy nulliparae in spontaneous labour, in The Flanders, Belgium

Mead

Bogaerts²,

Reyns³

2007

Midwifery

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ObjectiveTo explore midwives' perception of intrapartum risk for healthy nulliparous women in spontaneous labour at term of a healthy singleton pregnancy, in the Belgian Flanders, and compare these results with those of a previous study undertaken in England. DesignSurvey of the care midwives would advocate and their perception of intrapartum risk using a standardised scenario. This study replicates part of a survey undertaken with British midwives , with an added section to capture the particularities of the Belgian situation and explore the likelihood of midwives being fully responsible for the whole intrapartum care of healthy women, including their delivery. The questionnaire was translated into Dutch by MR and distributed by the Flemish midwives' association.. ParticipantsAll 845 midwives and 143 student midwives members of VLOV were sent a questionnaire with their invitation to take part in their annual conference. Two hundred and seventy-five midwives and 107 students attended the conference, and 128 questionnaires were returned at the conference: 99 midwives (36% of the attendees), 26 students (24% of attendees), with three unidentified respondents. This convenience sample represents 12% of all midwives and 18% of all students. Analysis SPSS for Windows was used for the statistical analysis. Descriptive statistics were used and differences between categorical variables were analysed using chi-square and Fisher's Exact tests and differences between continuous variables were analysed by ANOVA. FindingsMidwives generally described a more medicalised approach to intrapartum care on admission and during the first stage of labour than their British counterparts, but were much more optimistic about the chances of healthy women in spontaneous labour achieving a normal delivery within 12 hours. However Belgian midwives had only a very limited ability to undertake normal deliveries because of the very high proportion of obstetricians who fulfil this responsibility. This contravenes the EU directive on the activities of the midwife. Key conclusionsDespite a much greater involvement of obstetricians in the care of women suitable for full midwifery care and a more medicalised approach to intrapartum care, the Belgian Flanders has a significantly lower caesarean section rate than the UK. However the inability of Belgian midwives to fulfil the activities of the midwives as identified by the EU directives raises questions about the migration of midwives trained in Belgium to other EU member states.

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Section: Discussionmentioning

confidence: 94%

Midwives’ perception of the intrapartum risk of healthy nulliparae in spontaneous labour, in The Flanders, Belgium

Mead

Bogaerts²,

Reyns³

2007

Midwifery

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“…Numerous researchers have documented excellent morbidity and mortality outcomes of midwifery care (Blanchette, 1995;Cragin, 2002;Kennedy, 2000;MacDorman & Singh, 1998;Oakley et al, 1996;Raisler, 2000;Rooks et al, 1989). Blanchette (1995) compared birth outcomes of certified nurse-midwives with outcomes of obstetricians working in the same practice.…”

Section: Morbidity and Mortality Studiesmentioning

confidence: 99%

“…The nurse-midwifery care model offers fewer interventions, improved patient satisfaction, and superior morbidity and mortality rates (Blanchette, 1995;Ernst, 1996;Gabay & Wolfe, 1997;Kennedy, Shannon, Chuahorm, & Kravetz, 2004;MacDorman & Singh, 1998;Oakley et al, 1996). Ulrich (2004) noted that providers following the midwifery model of care ''used technology judiciously and focused on the psychosocial, spiritual, and cultural aspects of birth '' (p. 390).…”

Section: Introductionmentioning

confidence: 99%

The Experience of Perinatal Care at a Birthing Center: A Qualitative Pilot Study

Pewitt¹

2008

jpe

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The purpose of this qualitative descriptive pilot study was to describe women's experiences of care and satisfaction at a freestanding birth center. Data were collected through semistructured interviews with seven women who had given birth within 12 months of participant selection. Using qualitative content analysis, three themes emerged: (1) Empowerment, (2) Sense of Motherhood, and (3) Establishing and Strengthening Relationships. Data revealed that women value caring providers, that caring providers may affect positive outcomes, and that those outcomes may lead to a satisfactory experience.

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“…A d more education and counseling during prenatal care (e.g., nutrition, sexuality, smoking) (Oakley, 1996).…”

Section: Qualitymentioning

confidence: 99%

Step 1: Offers All Birthing Mothers Unrestricted Access to Birth Companions, Labor Support, Professional Midwifery Care

Leslie

Storton²

2007

jpe

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The first step of the Ten Steps of Mother-Friendly Care insures that women have access to a wide variety of support in labor and during the pregnancy and postpartum periods: unrestricted access to birth companions of their choice, including family and friends; unrestricted access to continuous emotional and physical support from a skilled woman such as a doula; and access to midwifery care. The rationales for the importance of each factor and the evidence to support those rationales are presented.

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Comparisons of outcomes of maternity care by obstetricians and certified nurse-midwives

Abstract: Although most outcomes were equally good, important differences between obstetrician and nurse-midwife care remained after multivariate analysis.

Cited by 68 publications

References 11 publications

Midwives’ perception of the intrapartum risk of healthy nulliparae in spontaneous labour, in The Flanders, Belgium

Midwives’ perception of the intrapartum risk of healthy nulliparae in spontaneous labour, in The Flanders, Belgium

The Experience of Perinatal Care at a Birthing Center: A Qualitative Pilot Study

Step 1: Offers All Birthing Mothers Unrestricted Access to Birth Companions, Labor Support, Professional Midwifery Care

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