Supportive nurse-midwife care is associated with a reduced incidence of cesarean section

Butler, Jane; Abrams, Barbara; Parker, Jennifer J.; Roberts, James M.; Laros, Russell K.

doi:10.1016/s0002-9378(11)90773-x

Cited by 80 publications

(44 citation statements)

References 16 publications

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“…In the light of the importance of a prompt reaction to abnormal CTG, the introduction of routine inter-professional cooperation in combination with one-to-one care for all women during labor could be necessary to enable improvement in CTG interpretation and safety in the future. One of the hallmarks of professional midwifery is time-intensive supportive care, and this has been shown to be associated with lower rates of CS and fetal distress [25,82] . An investment in capacity at the labor unit to enable such care could perhaps improve neonatal outcome and reduce insurance costs in the long run.…”

Section: Discussionmentioning

confidence: 99%

“Every case of asphyxia can be used as a learning example”. Conclusions from an analysis of substandard obstetrical care

Berglund

2012

Journal of Perinatal Medicine

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Aim: To propose suggestions for improvements in care based on conclusions from studies on low Apgar scores and substandard care during labor. Setting and patients: Studies on infants with low Apgar scores in a general obstetric population 2004 -2006 and claims for fi nancial compensation on the behalf of infants, based on the suspicion that substandard care in conjunction with childbirth has caused severe asphyxia or neonatal death in Sweden 1990Sweden -2005. Results: The most common fl aws were related to insuffi cient fetal surveillance, defective interpretation of cardiotocography (CTG) tracings, not acting in a timely fashion on abnormal CTG, and the incautious use of oxytocin. Besides, in half of the infants a suboptimal mode of delivery added further trauma to the already asphyxiated infant. Additionally, resuscitation was unsatisfactory in many of these infants. The most critical fl aw was defective compliance with the guidelines concerning ventilation and the early paging of skilled personnel in cases of imminent asphyxia or known complications during labor. In many case reports, the documentation of the neonatal resuscitation was insuffi cient to enable accurate and reliable evaluation. Conclusions: Examples of proposed improvements in care during labor are the introduction of a permanent educational atmosphere with aside time for daily educational rounds and discussion, cooperation around the use of standardized terminology in CTG interpretation, the cautious use of oxytocin, and the routine paging of a pediatrician before birth in cases of complicated delivery or imminent asphyxia. The proposed interventions need to be evaluated in clinical trials in the future.

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Section: Discussionmentioning

confidence: 99%

“Every case of asphyxia can be used as a learning example”. Conclusions from an analysis of substandard obstetrical care

Berglund

2012

Journal of Perinatal Medicine

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“…A retrospective cohort study in California has also shown that supportive nurse-midwifery care in labour was associated with a reduced caesarean section rate. 11 This study was conducted in the context of both public and professional concern around the current system of midwifery care and as an attempt to implement a model of care that would result in improved clinical outcomes, particularly reduced caesarean section rates.…”

Section: Introductionmentioning

confidence: 99%

Collaboration in maternity care: a randomised controlled trial comparing community-based continuity of care with standard hospital care

Homer

Davis

Brodie

et al. 2001

British Journal of Obstetrics and Gynaecology

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Main outcome measuresData were collected on onset and outcomes of labour, antenatal, intrapartum and postnatal complications, antenatal admissions to hospital and neonatal mortality and morbidity. ResultsThere was a significant difference in the caesarean section rate between the groups, 13.3% (73/550) in the STOMP group and 17.8% in the control group (96/539). This difference was maintained after controlling for known contributing factors to caesarean section (OR=0.6, 95% CI 0.4-0.9, P=0.02). There were no other significant differences in the events during labour and birth.Eighty (14.5%) neonates from the STOMP group and 102 (18.9%) from the control group were admitted to the special care nursery but this difference was not significant (OR 0.75, 95% CI 0.5-1.1, P=0.12). Eight infants died during the perinatal period (four from each group), for an overall perinatal mortality rate of 7.3 per 1,000 births. 3 ConclusionCommunity-based continuity of maternity care provided by midwives and obstetricians resulted in a significantly reduced caesarean section rate. There were no other differences in clinical outcomes.

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“…The role of the midwife can be examined with two different perspectives, firstly as a group of Health Care Providers (this point of view is discussed elsewhere [2,16,18,22], secondly as individual persons with respect to different practice styles and different personal characteristics, which is the main subject of this study.…”

Section: Introductionmentioning

confidence: 99%

The midwife factor in obstetric procedures and neonatal outcome

Kempler¹,

Kern²,

Kainer³

2002

Journal of Perinatal Medicine

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Supportive nurse-midwife care is associated with a reduced incidence of cesarean section

Cited by 80 publications

References 16 publications

“Every case of asphyxia can be used as a learning example”. Conclusions from an analysis of substandard obstetrical care

“Every case of asphyxia can be used as a learning example”. Conclusions from an analysis of substandard obstetrical care

Collaboration in maternity care: a randomised controlled trial comparing community-based continuity of care with standard hospital care

The midwife factor in obstetric procedures and neonatal outcome

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