Trend Analysis of Primary Midwife-led Delivery Care at a Japanese Perinatal Center

被引:3
|
作者
Suzuki, Shunji [1 ]
机构
[1] Japanese Red Cross Katsushika Matern Hosp, Dept Obstet & Gynecol, Tokyo 1240012, Japan
来源
INTERNATIONAL JOURNAL OF MEDICAL SCIENCES | 2014年 / 11卷 / 05期
关键词
Midwife-led care; obstetric shared care; referral; Japan; RISK PREGNANT-WOMEN; CONTROLLED-TRIAL; LABOR; REFERRALS; MORTALITY; UNIT; HOME;
D O I
10.7150/ijms.8204
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To perform trend analysis of primary midwife-led delivery care for 'low risk' pregnant women at our hospital. Methods: A retrospective cohort study was performed to examine trends and outcomes of labor under primary midwife-led delivery care at the Japanese Red Cross Katsushika Maternity Hospital between 2008 and 2012. Results: During the study period, the rate of deliveries initially considered 'low risk' decreased from 25 to 22% (p < 0.01). This change was associated with increased cases of previous Cesarean deliveries and preterm delivery. There were no significant changes in the neonatal outcomes; however, the rate of Cesarean delivery and incidence of severe perineal laceration in primary midwife-led delivery care were decreased from 2.1 and 3.3% to 0.3 (p = 0.02) and 1.1% (p = 0.04), respectively due to the close cooperation between midwives and obstetricians. Conclusion: The rate of deliveries initially considered 'low risk' decreased over the last 5-year period. Closer cooperation between midwives and obstetricians is important in primary midwife-led delivery care.
引用
收藏
页码:466 / 470
页数:5
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