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Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
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[A midwife-led birthing unit].

Mirjam Lukasse1, Pål Øian, Geir Aamodt

  • 1Kvinneklinikken, Rikshospitalet, 0027 Oslo. mirjam.lukasse@rikshospitalet.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 18, 2006
PubMed
Summary
This summary is machine-generated.

The Alternative Birth Centre (ABC) provides integrated care for low-risk women. This midwife-led unit is a safe option, with most women giving birth at the ABC without complications.

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Area of Science:

  • Maternal Health
  • Midwifery Care
  • Obstetrics

Background:

  • The Alternative Birth Centre (ABC) is a midwife-led unit offering comprehensive care for low-risk pregnancies.
  • It provides integrated antenatal, intrapartum, and postpartum services.

Purpose of the Study:

  • To evaluate the safety and outcomes of care provided at the Alternative Birth Centre.
  • To assess the rate of transfer and reasons for transfer during labor and delivery.

Main Methods:

  • Retrospective study of 432 women receiving care at the ABC between November 1997 and July 2000.
  • Data collected included demographics, antenatal care details, and labor/delivery information for 341 women who initiated labor at the ABC.

Main Results:

  • 265 (61.3%) women gave birth at the ABC; 84 (19.4%) were referred elsewhere during pregnancy.
  • Of 341 women starting labor at the ABC, 76 (22%) were transferred, primarily due to failure to progress, need for continuous fetal monitoring, or pain relief.
  • Only one baby born at the ABC had an Apgar score below 7 at 5 minutes.

Conclusions:

  • The Alternative Birth Centre is a safe and effective alternative to standard hospital care for low-risk women.
  • Midwife-led care at the ABC results in positive birth outcomes with low rates of intervention and transfer.