Where the Ockenden report goes wrong: Let us keep calm and follow the evidence

Jonge, Ank de; Vries, Raymond De; Declercq, Eugene

doi:10.1111/1471-0528.17276

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…Pursuing this as the future of MLCC might face challenges as there is no agreement about the structure of MLCC integration or about task, skills, and responsibilities [ 11 , 49 ]. The last two scenarios seem to embody the management continuity of care aspect and not relational continuity [ 8 ], which is at the heart of MLCC [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Based on the scale of health and generational wellbeing importance, the lack of, or poorly utilised MLCC also seem to represent a major public and global challenge – especially when the positive outcomes of MLCC are ignored [ 2 , 6 ]. Currently, in the normal birth debate, individual and anecdotal narratives, and the individual (social media) voices are privileged – winning the days from evidence, gaining momentum in politics [ 7 , 8 ]. Midwives are drawn into the discussion, trying to come to terms with their own thoughts and experiences.…”

Section: Introductionmentioning

confidence: 99%

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The future of midwife-led continuity of care: Call for a dialogue

Kuipers

2024

Dialogues in Health

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The future of midwife-led continuity of care: Call for a dialogue

Kuipers

2024

Dialogues in Health

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“…Specifically, comparative, prospective studies that simultaneously explored not only birth timing in home and hospital births, but also hospital maternity care practices could better identify differences that might impact timing and outcomes. The recent concern in England that an emphasis on “normal birth” is negatively impacting outcomes at a time when the cesarean rate in England is rapidly rising [ 62 ] suggest the need for a more comprehensive understanding of nature of maternity care practice. There is also a need for better documentation of induction and augmentation in hospital births to assess what impact, if any, they have on birth timing.…”

Section: Discussionmentioning

confidence: 99%

The natural pattern of birth timing and gestational age in the U.S. compared to England, and the Netherlands

et al. 2023

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Objective To examine cross-national differences in gestational age over time in the U.S. and across three wealthy countries in 2020 as well as examine patterns of birth timing by hour of the day in home and spontaneous vaginal hospital births in the three countries. Methods We did a comparative cohort analysis with data on gestational age and the timing of birth from the United States, England and the Netherlands, comparing hospital and home births. For overall gestational age comparisons, we drew on national birth cohorts from the U.S. (1990, 2014 & 2020), the Netherlands (2014 & 2020) and England (2020). Birth timing data was drawn from national data from the U.S. (2014 & 2020), the Netherlands (2014) and from a large representative sample from England (2008–10). We compared timing of births by hour of the day in hospital and home births in all three countries. Results The U.S. overall mean gestational age distribution, based on last menstrual period, decreased by more than half a week between 1990 (39.1 weeks) and 2020 (38.5 weeks). The 2020 U.S. gestational age distribution (76% births prior to 40 weeks) was distinct from England (60%) and the Netherlands (56%). The gestational age distribution and timing of home births was comparable in the three countries. Home births peaked in early morning between 2:00 am and 5:00 am. In England and the Netherlands, hospital spontaneous vaginal births showed a generally similar timing pattern to home births. In the U.S., the pattern was reversed with a prolonged peak of spontaneous vaginal hospital births between 8:00 am to 5:00 pm. Conclusions The findings suggest organizational priorities can potentially disturb natural patterns of gestation and birth timing with a potential to improve U.S. perinatal outcomes with organizational models that more closely resemble those of England and the Netherlands.

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“…Additional supporting information can be found online in the Supporting Information section at the end of this article. .Use of the GRADE system in systematic reviews Dear Dr. Papageorghiou, We read with great interest the systematic review by Houlihan et al 1 examining whether a previous or current diagnosis of Hodgkin lymphoma (HL) is associated with adverse maternal and perinatal outcomes. They included 33 observational studies (18 case series and 15 cohort studies) and concluded that there were no increased rates of most adverse pregnancy outcomes among women with a current or previous diagnosis of HL compared with the general pregnant population, and that the studies had a low to very low quality of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system.…”

Section: Su Pp Ort I Ng I N For M At Ionmentioning

confidence: 99%