Related Experiment Video
Updated: Jun 20, 2026
14:43
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Referrals during labor in midwifery care
Shunji Suzuki1, Misao Satomi, Hidehiko Miyake
1Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan. czg83542@mopera.ne.jp
Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|September 17, 2009
Summary
Midwifery care is as safe as standard obstetric care for low-risk pregnancies. Promoting international collaboration in midwifery services can enhance maternal safety and choice.
Area of Science:
- Maternal Health
- Obstetrics
- Midwifery Care
Background:
- In 2008, a significant majority of women with low-risk pregnancies at a Japanese maternity hospital opted for midwifery care.
- Midwifery care is a recognized alternative to standard obstetric care for uncomplicated pregnancies.
Purpose of the Study:
- To evaluate the safety of midwifery-led primary obstetric care compared to standard obstetric care for low-risk pregnancies.
- To assess the outcomes of low-risk pregnancies managed under midwifery care.
Main Methods:
- Retrospective analysis of birth data from Japanese Red Cross Katsushika Maternity Hospital in 2008.
- Comparison of outcomes for 548 women with low-risk pregnancies, focusing on those who chose midwifery care.
Main Results:
- 84% of women with low-risk pregnancies chose midwifery care.
- 42% of those under midwifery care were referred to obstetric care during labor.
- No evidence suggested midwifery care was less safe than standard obstetric care for this group.
Conclusions:
- Midwifery primary obstetric care is a safe option for women with low-risk pregnancies.
- International collaboration should be pursued to promote midwifery-led care globally.
- Enhancing access to midwifery care can support informed choices in childbirth.
Related Concept Videos
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:30Specialized Care Centers and Settings-I
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
01:16Nurses' Legal Responsibilities III
Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
01:23Nurses' Legal Responsibilities II
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...
Communication between nurses and patients...