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https://hdl.handle.net/2440/53972
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Type: | Journal article |
Title: | An evaluation of midwifery group practice. Part I: Clinical effectiveness |
Author: | Turnbull, D. Baghurst, P. Collins, C. Cornwell, C. Nixon, A. Donnellan-Fernandez, R. Antoniou, G. |
Citation: | Women and Birth, 2009; 22(1):3-9 |
Publisher: | Elsevier BV |
Issue Date: | 2009 |
ISSN: | 1871-5192 1878-1799 |
Statement of Responsibility: | Deborah Turnbull, Peter Baghurst, Carmel Collins, Chris Cornwell, Anne Nixon, Roslyn Donnelan-Fernandez, Georgia Antoniou |
Abstract: | Background: Midwifery Group Practice (MGP) is a continuity of midwifery care model for women in all risk groups (Low, Moderate and High) available at a tertiary metropolitan hospital in Australia. This demonstration study aimed to compare the clinical effectiveness of MGP with other models of care at the hospital. Methods: Comparisons of clinical outcomes were made between women who received care under MGP (n = 618) and those receiving ‘Other’ modes of care at the hospital (n = 3548) between three risk categories over a 15-month period. Results: There were more Low (MGP n = 218, 35.3%, ‘Other’ n = 773, 21.8%) and fewer High Risk (MGP n = 46, 7.4%, ‘Other’ n = 564, 15.9%) women in MGP, with similar proportions of Moderate Risk women (MGP n = 354, 57.3%, ‘Other’ n = 2211, 62.3%). Significant differences include: fewer assisted deliveries for Moderate Risk women in MGP (27.7% MGP, 46.1% ‘Other’); fewer labour inductions (Low Risk: 12.8% MGP, 25.1% ‘Other’; Moderate Risk: 21.8% MGP, 29.5% ‘Other’; High Risk: 19.6% MGP, 34.9% ‘Other’); less epidural analgesia (Low Risk: 22.5% MGP, 49.0% ‘Other’; Moderate Risk: 20.3% MGP, 38.4% ‘Other’; High Risk: 17.4% MGP, 32.6% ‘Other’); and differences in the overall pattern of perineal trauma. No significant differences were found in the incidence of post-partum haemorrhage, antenatal hospital admissions, or neonatal admission to Special or Intensive Care. Conclusions: MGP is clinically effective when practiced in a routine setting. |
Keywords: | Humans Pregnancy Complications Pregnancy Outcome Prenatal Care Health Care Surveys Nurse's Role Nurse-Patient Relations Nursing Methodology Research Midwifery Pregnancy Models, Nursing Infant, Newborn Obstetrics and Gynecology Department, Hospital Group Practice Australia Female Outcome and Process Assessment, Health Care |
DOI: | 10.1016/j.wombi.2008.10.001 |
Description (link): | http://www.elsevier.com/wps/find/journaldescription.cws_home/707424/description#description |
Published version: | http://dx.doi.org/10.1016/j.wombi.2008.10.001 |
Appears in Collections: | Aurora harvest Psychology publications |
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