Midwife-to-newborn ratio and neonatal outcome in healthy term infants

Authors: Dani, C., Papini, S., Iannuzzi, L. and Pratesi, S.

Journal: Acta Paediatrica, International Journal of Paediatrics

Volume: 109

Issue: 9

Pages: 1787-1790

eISSN: 1651-2227

ISSN: 0803-5253

DOI: 10.1111/apa.15180

Abstract:

Aim: To assess the effect of midwife-to-infant ratio on healthy term infant outcome. Methods: Infants were enrolled in an inhospital midwife-led centre and an obstetrician-led centre with different midwife-to-infant ratios (1:2.5-1:5 vs 1:7-1:15). The primary endpoint was exclusive breastfeeding rate; secondary endpoints were neonatal admission in neonatal care unit rate and length of hospital stay. Results: One hundred and ten infants were enrolled in both midwife- and obstetrician-led centre. Exclusive breastfeeding rate at discharge was higher (88% vs 78%, P =.048) in infants born in the midwife- than in the obstetrician-led centre. Admission rate in neonatal care units (9% vs 2%, P =.017) and stay in hospital duration (3.1 ± 1.8 vs 2.6 ± 0.8 days, P =.008) were higher in the obstetrician- than in the midwife-led centre. Birth in the midwife-led centre increased the likelihood of exclusive breastfeeding (OR: 2.04, 1.07-3.92), while newborns’ admission in neonatal care units decreased it (OR : 0.17, 0.07-0.43). Conclusion: Healthy term infants’ neonatal outcome is negatively associated with a low midwife-to-infant ratio which decreases exclusive breastfeeding rate and is associated with a higher likelihood of admission in neonatal care units and longer stay in hospital.

Source: Scopus

Midwife-to-newborn ratio and neonatal outcome in healthy term infants.

Authors: Dani, C., Papini, S., Iannuzzi, L. and Pratesi, S.

Journal: Acta Paediatr

Volume: 109

Issue: 9

Pages: 1787-1790

eISSN: 1651-2227

DOI: 10.1111/apa.15180

Abstract:

AIM: To assess the effect of midwife-to-infant ratio on healthy term infant outcome. METHODS: Infants were enrolled in an inhospital midwife-led centre and an obstetrician-led centre with different midwife-to-infant ratios (1:2.5-1:5 vs 1:7-1:15). The primary endpoint was exclusive breastfeeding rate; secondary endpoints were neonatal admission in neonatal care unit rate and length of hospital stay. RESULTS: One hundred and ten infants were enrolled in both midwife- and obstetrician-led centre. Exclusive breastfeeding rate at discharge was higher (88% vs 78%, P = .048) in infants born in the midwife- than in the obstetrician-led centre. Admission rate in neonatal care units (9% vs 2%, P = .017) and stay in hospital duration (3.1 ± 1.8 vs 2.6 ± 0.8 days, P = .008) were higher in the obstetrician- than in the midwife-led centre. Birth in the midwife-led centre increased the likelihood of exclusive breastfeeding (OR: 2.04, 1.07-3.92), while newborns' admission in neonatal care units decreased it (OR : 0.17, 0.07-0.43). CONCLUSION: Healthy term infants' neonatal outcome is negatively associated with a low midwife-to-infant ratio which decreases exclusive breastfeeding rate and is associated with a higher likelihood of admission in neonatal care units and longer stay in hospital.

Source: PubMed

Midwife-to-newborn ratio and neonatal outcome in healthy term infants

Authors: Dani, C., Papini, S., Iannuzzi, L. and Pratesi, S.

Journal: ACTA PAEDIATRICA

Volume: 109

Issue: 9

Pages: 1787-1790

eISSN: 1651-2227

ISSN: 0803-5253

DOI: 10.1111/apa.15180

Source: Web of Science (Lite)

Midwife‐to‐newborn ratio and neonatal outcome in healthy term infants

Authors: Dani, C., Papini, S., Iannuzzi, L. and Pratesi, S.

Journal: Acta Paediatrica

Publisher: Wiley-Blackwell

ISSN: 0803-5253

DOI: 10.1111/apa.15180

Abstract:

Aim To assess the effect of midwife‐to‐infant ratio on healthy term infant outcome.

Methods Infants were enrolled in an inhospital midwife‐led center and an obstetrician‐led center with different midwife‐to‐infant ratios (1:2.5‐1:5 vs. 1:7‐1:15). The primary endpoint was exclusive breastfeeding rate; secondary endpoints were neonatal admission in neonatal care unit rate and length of hospital stay.

Results One hundred and ten infants were enrolled in both midwife‐ and obstetrician‐led center. Exclusive breastfeeding rate at discharge was higher (88 vs 78%, P=0.048) in infants born in the midwife‐ than in the obstetrician‐led center. Admission rate in neonatal care units (9 vs. 2%, P=0.017) and stay in hospital duration (3.1±1.8 vs. 2.6±0.8 days, P=0.008) were higher in the obstetrician‐ than in the midwife‐led center. Birth in the midwife‐led center increased the likelihood of exclusive breastfeeding (R.R. 2.04, 1.07‐3.92), while newborns’ admission in neonatal care units decreased it (R.R: 0.17, 0.07‐0.43).

Conclusion Healthy term infants’ neonatal outcome is negatively associated with a low midwife‐to‐infant ratio which decreases exclusive breastfeeding rate and is associated with a higher likelihood of admission in neonatal care units and longer stay in hospital.

Source: Manual

Midwife-to-newborn ratio and neonatal outcome in healthy term infants.

Authors: Dani, C., Papini, S., Iannuzzi, L. and Pratesi, S.

Journal: Acta paediatrica (Oslo, Norway : 1992)

Volume: 109

Issue: 9

Pages: 1787-1790

eISSN: 1651-2227

ISSN: 0803-5253

DOI: 10.1111/apa.15180

Abstract:

Aim

To assess the effect of midwife-to-infant ratio on healthy term infant outcome.

Methods

Infants were enrolled in an inhospital midwife-led centre and an obstetrician-led centre with different midwife-to-infant ratios (1:2.5-1:5 vs 1:7-1:15). The primary endpoint was exclusive breastfeeding rate; secondary endpoints were neonatal admission in neonatal care unit rate and length of hospital stay.

Results

One hundred and ten infants were enrolled in both midwife- and obstetrician-led centre. Exclusive breastfeeding rate at discharge was higher (88% vs 78%, P = .048) in infants born in the midwife- than in the obstetrician-led centre. Admission rate in neonatal care units (9% vs 2%, P = .017) and stay in hospital duration (3.1 ± 1.8 vs 2.6 ± 0.8 days, P = .008) were higher in the obstetrician- than in the midwife-led centre. Birth in the midwife-led centre increased the likelihood of exclusive breastfeeding (OR: 2.04, 1.07-3.92), while newborns' admission in neonatal care units decreased it (OR : 0.17, 0.07-0.43).

Conclusion

Healthy term infants' neonatal outcome is negatively associated with a low midwife-to-infant ratio which decreases exclusive breastfeeding rate and is associated with a higher likelihood of admission in neonatal care units and longer stay in hospital.

Source: Europe PubMed Central