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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 681
Created on : 19/04/2004
Modified on : 2/12/2007

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URL of this record : http://afar.info/id=681

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Author(s) :

Mead M, Kornbrot D.

Year of publication :

2004

Bibliographical entry (without author) :

An intrapartum intervention scoring system for the comparison of maternity units' intrapartum care of nulliparous women suitable for midwifery-led care.
Midwifery 2004;20(1):15-26.

Résumé (français) :

Abstract (English):

Objective:

to develop an intrapartum intervention scoring tool which could be used to define maternity units as either `lower intrapartum intervention' or `higher intrapartum intervention' units. This scoring tool was designed to form the basis of a comparison of the perception of risk by midwives working in either `lower intrapartum intervention' or `higher intrapartum intervention' units.

Design:

three aspects were included: (1) the systematic data reduction of the St. Mary's Maternity Information System database used by 11 maternity units to include Caucasian nulliparous women suitable for midwifery-led care; (2) the calculation and the ranking of frequency distributions for the following interventions/management: (a) the management of breech presentation and of one previous caesarean section, the choice of home birth; and (b) augmentation of labour, use of electronic fetal monitoring, use of epidural, method of delivery; (3) the sum of the individual intrapartum ranking marks made up the final intrapartum score for each unit.

Results:

intrapartum interventions varied considerably between units. The scoring system enabled units to be described as either `Lower intrapartum intervention' or `Higher intrapartum intervention' units.

Conclusions:

routinely collected computerised data can be used to identify the outcomes of intrapartum care. This study suggests that the analysis of computerised data could provide a suitable basis for the audit and the comparison of intrapartum interventions for the care of women suitable for midwifery-led care.

Sumário (português):

URL :

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WN9-4BWC77H-2&_user=10&_handle=B-WA-A-A-A

Comments :

Texte en accès libre.

Argument (français) :

Argument (English):

Argumento (português):

Keywords :

homebirth ; c-section/caesarean ; monitoring ; epidural ; breech presentation ; active management of labor ; duration of labour ; place of birth

Author of this record :

C. Loup

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