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Related Experiment Videos

The midwife obstetric unit

H A van Coeverden de Groot, D A Davey, J A Smith

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |May 6, 1978
    PubMed
    Summary
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    Midwife obstetric units (MOUs) offer a vital alternative to home births in Cape Town, South Africa. These units achieve low perinatal mortality rates and reduce hospital overcrowding, proving beneficial for developing nations.

    Area of Science:

    • Maternal and Child Health
    • Public Health
    • Obstetrics

    Background:

    • Domiciliary delivery in Cape Town faced challenges, necessitating innovative solutions.
    • Overcrowding in teaching hospitals impacted maternity care quality.
    • A need existed for accessible, high-quality obstetric services in densely populated areas.

    Purpose of the Study:

    • To evaluate the effectiveness of Midwife Obstetric Units (MOUs) as an alternative to domiciliary delivery.
    • To assess the impact of MOUs on perinatal mortality rates.
    • To determine the role of MOUs in alleviating overcrowding in tertiary maternity facilities.

    Main Methods:

    • Establishment of suburban Midwife Obstetric Units (MOUs) staffed by midwives.
    • Telephonic linkage of MOUs to a base hospital for support.

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  • Availability of a flying squad service from a regional centre.
  • Implementation of strict admission criteria for deliveries at MOUs.
  • Regular medical staff supervision and visits to the MOUs.

    • Main Results:

    • MOUs achieved a very low perinatal mortality rate.
    • The units successfully reduced overcrowding in teaching hospitals.
    • Midwife-led care model proved effective in managing obstetric cases.

    Conclusions:

    • Midwife Obstetric Units (MOUs) provide a safe and effective alternative to home births.
    • The MOU model is particularly suitable for developing countries with high population density.
    • MOUs contribute to improved maternal and infant outcomes and efficient healthcare resource allocation.