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Type: Journal article
Title: A randomised controlled trial comparing birthing centre care with delivery suite care in Adelaide, Australia
Author: Byrne, J.
Crowther, C.
Moss, J.
Citation: Australian & New Zealand Journal of Obstetrics & Gynaecology, 2000; 40(3):268-274
Publisher: Blackwell Publishing Asia
Issue Date: 2000
ISSN: 0004-8666
Statement of
Byrne, Jennifer P., Crowther, Caroline A., Moss, John R.
Abstract: Birthing centre care offers women with a low risk of complication in pregnancy an alternative to conventional care for the birthing of their baby. It is important these two forms of care are appropriately assessed. A randomised controlled trial comparing the newly opened birthing centre with the established conventional delivery suite was conducted at the then Queen Victoria Hospital, Adelaide, South Australia. The outcomes measured included maternal satisfaction, costs and clinical outcomes both for mother and baby which related to the need for Caesarean section, episiotomy or tear rate and method of feeding. Two hundred and one women attending the hospital's antenatal clinic were randomly allocated to either birthing centre or delivery suite care. One hundred women were allocated to the birthing centre. No differences were found in either group related to clinical outcomes or costs. The only difference in maternal satisfaction was the choice women made for their next birth. More women in the birthing centre group felt they were encouraged to breastfeed immediately after birth. While the numbers in this study were too small to detect any but large differences in outcome, birthing centre care should remain an option for women and further studies undertaken with larger numbers.
Keywords: Humans; Pregnancy Outcome; Postnatal Care; Delivery, Obstetric; Confidence Intervals; Probability; Pregnancy; Adult; Infant, Newborn; Birthing Centers; Hospital-Patient Relations; Delivery Rooms; Cost-Benefit Analysis; Hospital Costs; Patient Satisfaction; Australia; Female; Outcome Assessment, Health Care
RMID: 0001000184
DOI: 10.1111/j.1479-828X.2000.tb03333.x
Appears in Collections:Obstetrics and Gynaecology publications

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