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dc.contributor.authorBernitz, Stine
dc.contributor.authorRolland, Rune
dc.contributor.authorBlix, Ellen
dc.contributor.authorJacobsen, Morten
dc.contributor.authorSjøborg, Katrine Dønvold
dc.contributor.authorØian, Pål
dc.date.accessioned2012-05-07T08:24:57Z
dc.date.available2012-05-07T08:24:57Z
dc.date.issued2011
dc.description.abstractObjective: To investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within the same hospital. Design: Randomised controlled trial. Setting: Department of Obstetrics and Gynaecology, Østfold Hospital Trust, Tromsø, Norway. Population: A total of 1111 women assessed to be at low risk at onset of spontaneous labour. Methods: Randomisation into one of three birth units: the special unit; the normal unit; or the midwife-led unit. Main outcome measures: Total operative delivery rate, augmentation, pain relief, postpartum haemorrhage, sphincter injuries and intrapartum transfer, Apgar score <7 at 5 minutes, metabolic acidosis and transfer to neonatal intensive care unit. Results: There were no significant differences in total operative deliveries between the three units: 16.3% in the midwife-led unit; 18.0% in the normal unit; and 18.8% in the special unit. There were no significant differences in postpartum haemorrhage, sphincter injuries or in neonatal outcomes. There were statistically significant differences in augmentation (midwife-led unit versus normal unit RR 0.73, 95% CI 0.59–0.89; midwife-led unit versus special unit RR 0.69, 95% CI 0.56–0.86), in epidural analgesia (midwife-led unit versus normal unit RR 0.68, 95% CI 0.52–0.90; midwife-led unit versus special unit RR 0.64, 95% CI 0.47–0.86) and in acupuncture (midwife-led unit versus normal unit RR 1.45, 95% CI 1.25–1.69; midwife-led unit versus special unit RR 1.45, 95% CI 1.22–1.73). Conclusions: The level of birth care does not significantly affect the rate of operative deliveries in low-risk women without any expressed preference for level of birth care.en
dc.identifier.citationBritish Journal of Obstetrics and Gynecology 118(2011) nr. 11 s. 1357-1364en
dc.identifier.cristinIDFRIDAID 851083
dc.identifier.doidoi: 10.1111/j.1471-0528.2011.03043.x
dc.identifier.issn1470-0328
dc.identifier.urihttps://hdl.handle.net/10037/4159
dc.identifier.urnURN:NBN:no-uit_munin_3878
dc.language.isoengen
dc.publisherBlackwell Science Ltd.en
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en
dc.titleIs the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trialen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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