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Design and methodology in a community, practice-based research network: a study of nurse-midwifery home-birth
1Columbia University Department of Obstetrics and Gynecology, New York, NY 10032, USA.
Objective:
To assess the feasibility, probable success, and inherent problems of conducting a multi-site, multi-year cohort study of planned home birth in the USA.
Design:
A prospective cohort study.
Setting:
14 states across the USA, representing a variety of regions and settings.
Participants:
29 home-birth midwifery practices, representing 44 individual midwives in both large and small, solo and group practices.
Data Collection:
Birth outcomes for all women initially enrolled in these home-birth practices.
Key Conclusion:
Multi-site studies of evaluating outcomes in small community-based practices are possible if several requirements are met.
Implications For Practice:
Understudied birth alternatives can be formally researched within a co-operative network of participating practitioners.
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