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Testing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: a pilot study.

Maralyn J Foureur1, Nicky Leap, Deborah L Davis

  • 1University of Technology, Sydney, Australia.

HERD
|April 6, 2011
PubMed
Summary

The Birth Unit Design Spatial Evaluation Tool (BUDSET) can measure birth setting optimality. This tool helps identify areas for improving maternity spaces to support normal physiological birth.

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Area of Science:

  • Maternity care environment design
  • Spatial assessment in healthcare settings
  • Birth unit design principles

Background:

  • Optimally designed birth spaces can influence physiological labor and birth.
  • Concerns exist regarding rising cesarean section rates in industrialized settings.
  • Limited tools are available to measure the optimality of birth spaces.

Purpose of the Study:

  • To pilot test the Birth Unit Design Spatial Evaluation Tool (BUDSET).
  • To determine if BUDSET can measure the optimality of different birth settings in Australia.
  • To assess the discriminant ability of BUDSET in diverse maternity units.

Main Methods:

  • A quantitative pilot study was conducted in eight Australian maternity units.
  • Five trained auditors used the BUDSET, assessing 18 design principles across four domains.

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  • Optimality Scores were aggregated for each birth unit.

    • Main Results:

    • A range of Optimality Scores (51-77/100) was observed across the birth units.
    • BUDSET identified low-scoring domains, particularly in older and conventional labor ward settings.
    • The tool demonstrated discriminant ability in assessing birth unit environments.

    Conclusions:

    • BUDSET offers a method to evaluate birth unit optimality and pinpoint areas for enhancement.
    • Improvements to existing birth spaces are feasible, even with low-cost modifications.
    • Further research is recommended to validate the BUDSET tool.