Triage issues in an out-of-hospital birth center

Barnes, P. K.

doi:10.1016/s0091-2182(99)00081-6

Cited by 8 publications

(4 citation statements)

References 70 publications

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“…In this situation, the woman may benefit from waiting at the centre for a few hours prior to further examination (Austin, 1996). Information for pregnant women on sign and symptoms of labour, and how to cope in early labour offered during antenatal appointments and telephone contacts could also offer reassurance (Barnes and Dossey, 1999).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with maternal intrapartum transfers from a freestanding birth centre in São Paulo, Brazil: A case control study

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Factors associated with maternal intrapartum transfers from a freestanding birth centre in São Paulo, Brazil: A case control study

et al. 2012

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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%

“…The authors emphasized that the use of evidence-based protocols at FMUs may result in greater customer safety and fewer interventions in common triage problems. [ 15 ]…”

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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“…To successfully perform telephone triage, the midwives require an extensive clinical knowledge, but where a call raises concerns they will visit. However, a primary anxiety for the nurse-midwives is the ever present threat of litigation should they err in their judgement (Barnes & Dossey, 1999). This also concerns other midwives.…”

Section: United States Of America and Canadamentioning

confidence: 99%

Off the Beaten Track: a Postmodern Feminist Analysis of Rural Midwifery and Rural Media Health Discourses

Patterson¹

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<p>Change was a constant companion for New Zealand midwives during the 1990's. The Nurses Amendment Act 1990, that restored midwifery autonomy was only one of a constellation of changes that saw significant restructuring of the health services in small communities. The purpose of this study was to look at the issues for a group of midwives in rural South Otago who took the opportunity to work independently and offer local women a choice of maternity care during this time. In this study, five rural midwives were interviewed and met subsequently in a focus group. The transcripts were analyzed using discourse analysis informed by a postmodern/feminist theoretical framework. In addition the local newspapers covering the years 1990-1999 were read with a particular focus on the reports of health changes. These texts were also subjected to a discourse analysis using Lyotard's (1997) notion of language games, and bell hook's (1990) ideas around strategic positioning for the marginalised. To practise autonomously, the midwives in this study perform an intricate dance, balancing the contradictions of competing discourses. Their positioning and place of difference is tensioned primarily by a deep sense of community commitment and entanglement, and also by a feeling of physical and perceptual distance from their urban midwifery colleagues. This is underpinned by a staunch belief in women's ability to birth safely in their local area. The findings of this study suggest that the continuation of a comprehensive rural midwifery service is challenged by changes in the arrangement and funding of rural health, plus the increasing use of medical and technological intervention in childbirth. For rural midwifery to survive, this study shows that midwives need to remain flexible and alert while continuing to align themselves with women who are their primary source of support and inspiration. At the same time, they need to forge strategic linkages and alliances, both local and national that will allow them to move and reposition in order to continue their work and provide a realistic childbirth choice for rural women.</p>

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Triage issues in an out-of-hospital birth center

Cited by 8 publications

References 70 publications

Factors associated with maternal intrapartum transfers from a freestanding birth centre in São Paulo, Brazil: A case control study

Factors associated with maternal intrapartum transfers from a freestanding birth centre in São Paulo, Brazil: A case control study

Freestanding midwife-led units: A narrative review

Off the Beaten Track: a Postmodern Feminist Analysis of Rural Midwifery and Rural Media Health Discourses

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