Midwife managed delivery unit: A randomised controlled comparison with consultant led care
Authors: Hundley, V.A., Cruickshank, F.M., Lang, G.D., Glazener, C.M.A., Milne, J.M., Turner, M., Blyth, D., Mollison, J. and Donaldson, C.
Journal: BMJ
Volume: 309
Issue: 6966
Pages: 1400
eISSN: 1468-5833
ISSN: 0959-8138
DOI: 10.1136/bmj.309.6966.1400
Abstract:Objective: To examine whether intrapartum care and delivery of low risk women in a midwife managed delivery unit differs from that in a consultant led labour ward. Design: Pragmatic randomised controlled trial. Subjects were randomised in a 2:1 ratio between the midwives unit and the labour ward. Setting: Aberdeen Maternity Hospital, Grampian. Subjects—2844 low risk women, as defined by existing booking criteria for general practitioner units in Grampian. 1900 women were randomised to the midwives unit and 944 to the labour ward. Main outcome measures: Maternal and perinatal morbidity. Results: Of the women randomised to the midwives unit, 647 (34%) were transferred to the labour ward antepartum, 303 (16%) were transferred intrapartum, and 80 (4%) were lost to follow up. 870 women (46%) were delivered in the midwives unit. Primigravid women (255/596, 43%) were significantly more likely to be transferred intrapartum than multigravid women (48/577, 8%). Significant differences between the midwives unit and labour ward were found in monitoring, fetal distress, analgesia, mobility, and use of episiotomy. There were no significant differences in mode of delivery or fetal outcome. Conclusions: Midwife managed intrapartum care for low risk women results in more mobility and less intervention with no increase in neonatal morbidity. However, the high rate of transfer shows that antenatal criteria are unable to determine who will remain at low risk throughout pregnancy and labour. © 1994, BMJ Publishing Group Ltd. All rights reserved.
https://eprints.bournemouth.ac.uk/20562/
Source: Scopus
Midwife managed delivery unit: a randomised controlled comparison with consultant led care.
Authors: Hundley, V.A., Cruickshank, F.M., Lang, G.D., Glazener, C.M., Milne, J.M., Turner, M., Blyth, D., Mollison, J. and Donaldson, C.
Journal: BMJ
Volume: 309
Issue: 6966
Pages: 1400-1404
ISSN: 0959-8138
DOI: 10.1136/bmj.309.6966.1400
Abstract:OBJECTIVE: To examine whether intrapartum care and delivery of low risk women in a midwife managed delivery unit differs from that in a consultant led labour ward. DESIGN: Pragmatic randomised controlled trial. Subjects were randomised in a 2:1 ratio between the midwives unit and the labour ward. SETTING: Aberdeen Maternity Hospital, Grampian. SUBJECTS: 2844 low risk women, as defined by existing booking criteria for general practitioner units in Grampian. 1900 women were randomised to the midwives unit and 944 to the labour ward. MAIN OUTCOME MEASURES: Maternal and perinatal morbidity. RESULTS: Of the women randomised to the midwives unit, 647 (34%) were transferred to the labour ward antepartum, 303 (16%) were transferred intrapartum, and 80 (4%) were lost to follow up. 870 women (46%) were delivered in the midwives unit. Primigravid women (255/596, 43%) were significantly more likely to be transferred intrapartum than multi-gravid women (48/577, 8%). Significant differences between the midwives unit and labour ward were found in monitoring, fetal distress, analgesia, mobility, and use of episiotomy. There were no significant differences in mode of delivery or fetal outcome. CONCLUSIONS: Midwife managed intrapartum care for low risk women results in more mobility and less intervention with no increase in neonatal morbidity. However, the high rate of transfer shows that antenatal criteria are unable to determine who will remain at low risk throughout pregnancy and labour.
https://eprints.bournemouth.ac.uk/20562/
Source: PubMed
MIDWIFE MANAGED DELIVERY UNIT - A RANDOMIZED CONTROLLED COMPARISON WITH CONSULTANT LED CARE
Authors: HUNDLEY, V.A., CRUICKSHANK, F.M., LANG, G.D., GLAZENER, C.M.A., MILNE, J.M., TURNER, M., BLYTH, D., MOLLISON, J. and DONALDSON, C.
Journal: BRITISH MEDICAL JOURNAL
Volume: 309
Issue: 6966
Pages: 1400-1404
ISSN: 0959-8138
DOI: 10.1136/bmj.309.6966.1400
https://eprints.bournemouth.ac.uk/20562/
Source: Web of Science (Lite)
Midwife managed delivery unit: a randomised controlled comparison with consultant led care.
Authors: Hundley, V., Cruickshank, F.M., Lang, G., Glazener, C.M., Milne, J.M., Turner, M., Blyth, D., Mollison, J. and Donaldson, C.
Journal: BMJ : British Medical Journal (Clinical Research edition).)
Volume: 309
Pages: 1400-1404
ISSN: 0959-8138
DOI: 10.1136/bmj.309.6966.1400
Abstract:Midwife managed intrapartum care for low risk women results in more mobility and less intervention with no increase in neonatal morbidity. However, the high rate of transfer shows that antenatal criteria are unable to determine who will remain at low risk throughout pregnancy and labour.
https://eprints.bournemouth.ac.uk/20562/
Source: Manual
Preferred by: Vanora Hundley
Midwife managed delivery unit: a randomised controlled comparison with consultant led care.
Authors: Hundley, V.A., Cruickshank, F.M., Lang, G.D., Glazener, C.M., Milne, J.M., Turner, M., Blyth, D., Mollison, J. and Donaldson, C.
Journal: BMJ (Clinical research ed.)
Volume: 309
Issue: 6966
Pages: 1400-1404
eISSN: 1756-1833
ISSN: 0959-8138
DOI: 10.1136/bmj.309.6966.1400
Abstract:Objective
To examine whether intrapartum care and delivery of low risk women in a midwife managed delivery unit differs from that in a consultant led labour ward.Design
Pragmatic randomised controlled trial. Subjects were randomised in a 2:1 ratio between the midwives unit and the labour ward.Setting
Aberdeen Maternity Hospital, Grampian.Subjects
2844 low risk women, as defined by existing booking criteria for general practitioner units in Grampian. 1900 women were randomised to the midwives unit and 944 to the labour ward.Main outcome measures
Maternal and perinatal morbidity.Results
Of the women randomised to the midwives unit, 647 (34%) were transferred to the labour ward antepartum, 303 (16%) were transferred intrapartum, and 80 (4%) were lost to follow up. 870 women (46%) were delivered in the midwives unit. Primigravid women (255/596, 43%) were significantly more likely to be transferred intrapartum than multi-gravid women (48/577, 8%). Significant differences between the midwives unit and labour ward were found in monitoring, fetal distress, analgesia, mobility, and use of episiotomy. There were no significant differences in mode of delivery or fetal outcome.Conclusions
Midwife managed intrapartum care for low risk women results in more mobility and less intervention with no increase in neonatal morbidity. However, the high rate of transfer shows that antenatal criteria are unable to determine who will remain at low risk throughout pregnancy and labour.https://eprints.bournemouth.ac.uk/20562/
Source: Europe PubMed Central
Midwife managed delivery unit: a randomised controlled comparison with consultant led care - the cost data
Authors: Hundley, V. and Donaldson, C.
https://eprints.bournemouth.ac.uk/20562/
http://www.abdn.ac.uk/heru/uploads/files/Briefing%20Paper%203.pdf
Source: BURO EPrints