20.500.12556/DiRROS-26809 A comparison of frequency of medical interventions and birth outcomes between the midwife led unit and the obstetric unit in low-risk primiparous women Primerjava pojavnosti medicinskih intervencij in porodnih izidov pri nizkorizičnih prvorodnicah v samostojni babiški enoti in porodni enoti Introduction: The purpose of this national research was to compare birth, maternal and newborn outcomes in the midwife led unit and the obstetric unit to ascertain whether a midwife led unit reduced medicalisation of childbirth. Methods: A prospective observational case-control study was carried out in Ljubljana Maternity Hospital in the period May - August 2013. The sample comprised 497 labouring women; 154 who attended the midwife led and 343 who attended in the obstetric unit, both matching the same inclusion criteria: low risk primiparous; singleton term pregnancies, normal foetal heart beat, cephalic presentation; spontaneous onset of labour. The primary outcome was the caesarean section rate. Chi-square test was used to compare medical interventions and birth outcomes. Results: Women in the midwife led unit had statistically significant higher spontaneous vaginal births (p < 0.001), less augmentation with oxytocin (p < 0.001), less use of analgesia (p < 0.001), less operative vaginal deliveries (p < 0.001) and less caesarean sections (p < 0.001), lower rates of episiotomy (p < 0.001) and more exclusively breastfed (p = 0.002). Discussion and conclusion: These significant findings showed that in the midwife led unit fewer medical interventions were used. For generalisation of the findings more similar studies in Slovenia are needed. Uvod: Namen nacionalne raziskave je bila primerjava porodnih izidov ter izidov pri materah in novorojenčkih v samostojni babiški enoti in porodni enoti ter tako preveriti, ali so porodi v samostojni babiški enoti manj medikalizirani. Metode: Prospektivna opazovalna raziskava primerov s kontrolami je bila izvedena med majem in avgustom 2013. V raziskavi je sodelovalo 497 žensk, 154 žensk je rodilo v samostojni babiški enoti in 343 žensk v porodni enoti. Obe skupini žensk sta izpolnjevali enak vstopni kriterij: prvorodnice brez prisotnih dejavnikov tveganja, ob porodnem terminu, z enim plodom v glavični vstavi, normalno plodovo frekvenco srca in spontanim začetkom poroda. Primarni izid je bil delež carskih rezov. Za primerjavo medicinskih intervencij in porodnih izidov v obeh skupinah je bil uporabljen test hi-kvadrat. Rezultati: Ženske, ki so rodile v samostojni babiški enoti, so imele statistično pomembno več spontanih vaginalnih porodov (p < 0.001), manj pospeševanj z oksitocinom (p < 0.001), manjšo uporabo analgetikov (p < 0.001), manj operativnih vaginalnih porodov (p < 0.001) in carskih rezov (p < 0.001), manj epiziotomij (p < 0.001) in več polnega dojenja (p = 0.002). Diskusija in zaključek: V samostojni babiški enoti je bilo uporabljenih manj medicinskih intervencij. Za generalizacijo zaključkov te študije bi bile potrebne nadaljnje raziskave v Sloveniji. low risk labour medical interventions perinatal outcomes nizko tveganje porod medicinske intervencije perinatalni izidi true false false Angleški jezik Slovenski jezik Neznano 2026-01-28 00:43:40 2026-01-28 00:43:40 2026-01-30 04:04:32 0000-00-00 00:00:00 2014 0 0 Besedilo v angl.; str. 166-176 št. 3 Letn. 48 2014 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 2014-01-01 618.4 1318-2951 10.14528/snr.2014.48.3.16 520235289 http://dx.doi.org/10.14528/snr.2014.48.3.16 1 028b56fa-fbda-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39303 Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije 0 0 0