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Does introducing a dedicated early labour area improve birth outcomes? A pre-post intervention study.

Lauren Williams1, Bec Jenkinson2, Nigel Lee3

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Reconfiguring early labour care did not improve birth outcomes or reduce hospital stays. Admission to any hospital unit for early labour may negatively impact outcomes.

Keywords:
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Area of Science:

  • Maternal-fetal medicine
  • Obstetrics
  • Healthcare management

Background:

  • Increasing hospital admissions for early labour are linked to intervention overuse and higher costs.
  • Previous innovative early labour care models have not improved birth outcomes.

Purpose of the Study:

  • To assess if reconfiguring early labour services in an Australian maternity unit improved birth outcomes.
  • To determine if the reconfiguration reduced length of stay in the Pregnancy Assessment and Observation Unit, alleviating bed blockages.

Main Methods:

  • A pre-post intervention study design was employed.
  • Routinely collected clinical data from before and after the service reconfiguration were analyzed.

Main Results:

  • Post-intervention, rates of amniotomy, meconium-stained liquor, and neonatal nursery admissions increased.
  • Epidural use did not change significantly, and the reduction in prolonged stays in the assessment unit was not statistically significant.

Conclusions:

  • Reconfiguring early labour care location and model did not improve birth outcomes or affect epidural use.
  • Hospital admission for early labour, regardless of unit, may present challenges for women and impact outcomes.