| Title: | A comparison of frequency of medical interventions and birth outcomes between the midwife led unit and the obstetric unit in low-risk primiparous women |
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| Authors: | ID Prelec, Anita (Author)
ID Verdenik, Ivan (Author)
ID Poat, Angela (Author) |
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| Files: |  URL - Source URL, visit http://dx.doi.org/10.14528/snr.2014.48.3.16
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  ZZBNS - ZSDMSBZTS - Nurses and Midwives Association of Slovenia
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| Abstract: | 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. |
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| Keywords: | low risk, labour, medical interventions, perinatal outcomes |
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| Publication date: | 01.01.2014 |
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| Year of publishing: | 2014 |
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| Number of pages: | str. 166-176 |
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| Numbering: | Letn. 48, št. 3 |
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| PID: | 20.500.12556/DiRROS-26809  |
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| UDC: | 618.4 |
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| ISSN on article: | 1318-2951 |
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| DOI: | 10.14528/snr.2014.48.3.16 |
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| COBISS.SI-ID: | 520235289 |
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| Note: | Besedilo v angl.;
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| Publication date in DiRROS: | 28.01.2026 |
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| Views: | 87 |
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| Downloads: | 25 |
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