Linked Life Data

7210691

Source:http://linkedlifedata.com/resource/pubmed/id/7210691

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1981-5-13
pubmed:abstractText
The purpose of this study was to assess the practice of a group of non-nurse midwives by comparing the outcomes of their deliveries to the standard of hospital-based physicians. This was done by means of a matching procedure designed to equate the populations on major medical risk factors. The first phase of the study used all physicians and found major differences favoring the midwives. The second phase of the study used the least interventionist half of the physician group and found minimal differences between midwives at home and physicians in the hospital. It is suggested that excessive intervention is not without risk regardless of who does it.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Americas, http://linkedlifedata.com/resource/pubmed/keyword/California, http://linkedlifedata.com/resource/pubmed/keyword/Comparative Studies, http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care, http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries, http://linkedlifedata.com/resource/pubmed/keyword/Evaluation, http://linkedlifedata.com/resource/pubmed/keyword/Health, http://linkedlifedata.com/resource/pubmed/keyword/Health Personnel, http://linkedlifedata.com/resource/pubmed/keyword/Midwives, http://linkedlifedata.com/resource/pubmed/keyword/North America, http://linkedlifedata.com/resource/pubmed/keyword/Northern America, http://linkedlifedata.com/resource/pubmed/keyword/Physicians, http://linkedlifedata.com/resource/pubmed/keyword/Pregnancy, http://linkedlifedata.com/resource/pubmed/keyword/Pregnancy Outcomes, http://linkedlifedata.com/resource/pubmed/keyword/Reproduction, http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology, http://linkedlifedata.com/resource/pubmed/keyword/Studies, http://linkedlifedata.com/resource/pubmed/keyword/United States, http://linkedlifedata.com/resource/pubmed/keyword/Wisconsin
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0363-0242
pubmed:author
pubmed:issnType
Print
pubmed:volume
5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
17-29
pubmed:dateRevised
2009-5-20
pubmed:otherAbstract
PIP: A retrospective study compared the outcome of a sample of 432 low risk, planned home deliveries performed by experienced non-nurse midwives in California with a sample of 432 matched, low risk, hospital planned deliveries performed in California and Wisconsin by physicians. There was significantly less fetal distress, meconium staining, postpartum hemorrhage, birth injuries, and less need to use resuscitation in the midwife sample of deliveries than in the physician sample of deliveries. If a delivery in the midwife sample required hospitalization and physician attendance after labor began, the case was still included in the midwife sample. The physicians tended to use considerably more intervention procedures during delivery than the midwives. In a 2nd phase of the study the physicians were assigned to either an interventionist group or a non-interventionist group on the basis of how quickly and how frequently they resorted to interventionist techniques in performing deliveries. When the non-interventionist physician group was compared with the midwife group there were fewer differences in delivery outcome than when the midwife group was compared to the total physician group; however, the non-interventionist group of physician deliveries still had a higher proportion of fetal distress and placental problems than the midwife assisted group of deliveries. Also the non-interventionist group of physicians still used intervention techniques more frequently and more readily than the midwives. There were no significant differences in infant and maternal postpartum complications between the deliveries performed by the non-interventionist physicians and the midwives. These findings should not be construed as an affirmation of all midwife assisted deliveries. Only highly experienced midwives were included in the study. The findings do suggest that physicians use of intervention techniques may be excessive.
pubmed:meshHeading
pubmed:year
1980
pubmed:articleTitle
Evaluation of outcomes of non-nurse midwives: matched comparisons with physicians.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't