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[Obstetrics in Denmark. The role of surgical maternity wards in Denmark]
1Lemvig Sygehus, kirurgisk afdeling.
Introduction:
About 13.5% of the deliveries in Denmark take place on maternity wards which lie within the bounds of a surgical department, mainly at small general hospitals. The Danish Society for Obstetrics and Gynaecology has recommended closing all such surgical maternity wards. This prompted a comparison of birth outcomes for women who live in municipalities, which are served by a surgical maternity ward compared to the rest of the Danish women.
Methods:
The data was obtained as a random sample of 74,000 deliveries from The Danish Birth Registry. The main outcome variables were perinatal deaths and operative deliveries.
Results:
No difference was found in the perinatal mortality, the crude OR being 1.03 (95% CI: 0.87-1.14). Logistic regression analysis was used to correct for the effect of confounding factors resulting in an adjusted OR = 1.13 (95% CI: 0.92-1.38).
Conclusion:
The investigation does not confirm the need for further centralisation of maternity care as a means of lowering the perinatal mortality in Denmark.
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