The BirthPlace collaborative practice model: results from the San Diego Birth Center Study

Swartz, W. H.; Jackson, Debra; Lang, Janet M.; Ecker, Jeffrey L.; Dickinson, Cynthia; Nguyen, Uyen‐Sa D. T.

doi:10.1016/s1068-607x(98)00147-4

Cited by 9 publications

(5 citation statements)

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“…In the 1980s and 1990s, some randomised prospective studies were carried out to compare the safety of out‐of‐hospital births with deliveries in hospital (7–11). In most cases, the parturition and the outcome of normal hospital births were compared with simulated home deliveries accompanied by a midwife.…”

Section: Discussionmentioning

confidence: 99%

Intrapartum transfer from a birth centre to a hospital – reasons, procedures, and consequences1

David¹,

Berg²,

Werth³

et al. 2006

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

Intrapartum transfer from a birth centre to a hospital – reasons, procedures, and consequences1

David¹,

Berg²,

Werth³

et al. 2006

Acta Obstet Gynecol Scand

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“…We used data from the San Diego Birth Center Study (SDBCS), a prospective longitudinal study that compared safety and resource use in a birth center delivery model with collaborative care by certified nurse‐midwives and medical doctors to a traditional model of hospital deliveries attended by medical doctors. More detailed information regarding the study and eligibility criteria has already been published 5–7 . In brief, the study enrolled a total of 2957 underserved women in the San Diego area from February 1, 1994 to November 1, 1996.…”

Section: Methodsmentioning

confidence: 99%

Transfers Among Women Intending A Birth Center Delivery in the San Diego Birth Center Study

Nguyen

Rothman

Demissie

et al. 2009

J Midwife Womens Health

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Using data from the San Diego Birth Center Study that enrolled underserved women between 1994 and 1996, we examined demographic, sociobehavioral, and medical predictors of hospital transfer in a group of women who intended to deliver at a freestanding birth center. Of the 1808 women, 34.6% transferred to the hospital antenatally and 19.6% transferred during labor, while 45.7% delivered at the birth center. Compared with multiparous women who had never had a cesarean and never had a previous hospital delivery, nulliparous women were 2.0 times more likely (95% confidence interval [CI], 1.4-2.7), multiparous women with a previous cesarean were 2.6 times more likely (95% CI, 1.7-3.8), and women without a previous cesarean but who had a previous hospital delivery were 2.1 times more likely (95% CI, 1.5-3.0) to transfer after adjusting for other predictors of transfer. Nulliparity, cesarean history and having a previous hospital delivery were among the strongest predictors of a hospital transfer even after adjusting for demographic, sociobehavioral, and other medical conditions. Understanding predictors of transfer may assist practitioners, patients, and policy makers in considering the appropriateness of individuals for birth center delivery or to target further education to reduce nonmedical transfers.

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“…This implies that whenever any complications occur, pregnant women are taken to hospital. [ 10 11 12 13 14 15 16 ] The Birthplace in England National Prospective Cohort Study demonstrated that in 2007, two out of three trusts offered women a choice between home birth and delivery at an obstetrical department, but no option to use an FMU. [ 17 ] Another more recent study showed that the number of FMUs in the United Kingdom (about 60) has virtually not changed over time, and these centers provide their services to a relatively small group of women, primarily in rural areas.…”

Section: Resultsmentioning

confidence: 99%

Freestanding midwife-led units: A narrative review

Bączek

Tataj‐Puzyna

Sys

et al. 2020

Iranian J Nursing Midwifery Res

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Background: Strengthening of midwives' position and support for freestanding birth centers, frequently referred to as Freestanding Midwife-led Units (FMUs), raise hopes for a return to humanized labor. Our study aimed to review published evidence regarding FMUs to systematize the knowledge of their functioning and to identify potential gaps in this matter. Materials and Methods: A structured integrative review of theoretical papers and empirical studies was conducted. The literature search included MEDLINE, Cochrane, Scopus, and Embase databases. The analysis included papers published in 1977–2017. Relevant documents were identified using various combinations of search terms and standard Boolean operators. The search included titles, abstracts, and keywords. Additional records were found through a manual search of reference lists from extracted papers. Results: Overall, 56 out of 107 originally found articles were identified as eligible for the review. Based on the critical analysis of published data, six groups of research problems were identified and discussed, namely, 1) specifics of FMUs, 2) costs of perinatal care at FMUs, 3) FMUs as a place for midwife education, 4) FMUs from midwives' perspective, 5) perinatal, maternal, and neonatal outcomes, and 6) FMUs from the perspective of a pregnant woman. Conclusions: FMUs offers a home-like environment and complex midwifery support for women with uncomplicated pregnancies. Although emergency equipment is available as needed, FMU birth is considered a natural spontaneous process. Midwives' supervision over low-risk labors may provide many benefits, primarily related to lower medicalization and fewer medical interventions than in a hospital setting.

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The BirthPlace collaborative practice model: results from the San Diego Birth Center Study

Cited by 9 publications

References 0 publications

Intrapartum transfer from a birth centre to a hospital – reasons, procedures, and consequences1

Intrapartum transfer from a birth centre to a hospital – reasons, procedures, and consequences1

Transfers Among Women Intending A Birth Center Delivery in the San Diego Birth Center Study

Freestanding midwife-led units: A narrative review

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