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Birth outcome in a ...
Birth outcome in a caseload study conducted in a rural area of Sweden : a register based study
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- Hildingsson, Ingegerd, 1955- (författare)
- Mittuniversitetet,Uppsala University,Mid Sweden University,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Mid Sweden Univ, Dept Nursing, Sundsvall, Sweden.,Institutionen för omvårdnad,Uppsala Universitet
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- Karlström, Annika, 1953- (författare)
- Mittuniversitetet,Mid Sweden University,Institutionen för omvårdnad
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- Rubertsson, Christine, 1962- (författare)
- Uppsala University,Lund University,Lunds universitet,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Lund Univ, Dept Nursing, Lund, Sweden.,Barnmorskans forskningsområde - reproduktiv, perinatal och sexuell hälsa,Forskargrupper vid Lunds universitet,Midwifery research - reproductive, perinatal and sexual health,Lund University Research Groups,Uppsala Universitet; Lund Universitet
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- Larsson, Birgitta (författare)
- Mittuniversitetet,Mid Sweden University,Institutionen för omvårdnad
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(creator_code:org_t)
- ELSEVIER IRELAND LTD, 2020
- 2020
- Engelska.
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Ingår i: Sexual & Reproductive HealthCare. - : ELSEVIER IRELAND LTD. - 1877-5756 .- 1877-5764. ; 24
- Relaterad länk:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Continuity models of midwifery care are rare in Sweden, despite its well-known positive effects. The aim was to describe pregnancy and birth outcome in women participating in a continuity of care project in a rural area of Sweden.Method: A register-based study of 266 women recruited to the project and a control group of 125 women from the same catchment area. Midwives provided antenatal care and were on-call 7 a.m. to 11 p.m. for birth. Data were collected from the antenatal and birth records. Crude and adjusted odds ratios with 95% confidence intervals were calculated between women in the project and the control group.Results: There were more primiparous women and highly educated women recruited to the project, and fewer foreign-born and single women, compared to the control group. Women in the project met more midwives and were less likely to have a pregnancy complication. During intrapartum care, women recruited to the project were less likely to need labour augmentation and less likely to have an instrumental vaginal birth and elective caesarean section. They had fewer second degree perineal tears and were more likely to fully breastfeed at discharge. No differences were found in neonatal outcome. The continuity of a known midwife at birth was quite low.Conclusion: This study shows that women self-recruited to a continuity of care project in a rural area of Sweden had a higher rate of normal births. There were few differences if having a known midwife or not. Long distances to hospital and lack of staff affected the level of continuity.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Birth records
- Continuity of care
- Labour outcome
- Caseload midwifery
- Midwifery
- Register-based study
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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