Clinical outcomes of one-to-one midwifery practice

Page, Lesley, Beake, Sarah, Vall, Andy, McCourt, Christine and Hewison, Jenny (2001) Clinical outcomes of one-to-one midwifery practice. British Journal of Midwifery, 9 (11). pp. 700-706. ISSN 0969-4900

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Abstract

One-to-one midwifery was established in 1993 to put into practice the principles of Changing Childbirth. This second cohort study was undertaken to assess differences between one-to-one and standard care and to assess whether or not differences had persisted since an early study. A random sample of all women receiving standard care (postal districts W4 and W6) and of all women receiving one-to-one care (postal districts W3 and W12) who were expecting to give birth in the same NHS Trust between 15May 1997 and 14May 1998 were invited to enter the study of women's responses to care, the notes of all women were audited. Clinical endpoints were specified in advance, these were: caesarean and assisted delivery rates, epidural rates in those not having elective caesarean section, rates of intact perineum in those not having elective caesarean section, and labour duration. Satisfaction with care was recorded through the postal questionnaires. These endpoints were analysed using linear and logistic regression adjusting for prespecified confounders. There was a lower rate of all clinical interventions associated with one-to-one care and rates of satisfaction were higher. Differences were increased from the first cohort study.

Item Type: Article
Subjects: Medicine and health > Midwifery
Depositing User: Rod Pow
Date Deposited: 25 Apr 2012 14:11
Last Modified: 17 Jan 2017 11:42
URI: http://repository.uwl.ac.uk/id/eprint/123

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