Transfers of women planning birth in midwifery units: data from the Birthplace prospective cohort study.
Summary of "Transfers of women planning birth in midwifery units: data from the Birthplace prospective cohort study."
Please cite this paper as: Rowe R, Fitzpatrick R, Hollowell J, Kurinczuk J. Transfers of women planning birth in midwifery units: data from the Birthplace prospective cohort study. BJOG 2012;
10.1111/j.1471-0528.2012.03414.x. Objective To examine the percentage of women transferred, reasons for transfer and factors associated with the transfer of women planning birth in midwifery units (MUs). Design Prospective cohort study. Setting All freestanding midwifery units (FMUs) and alongside midwifery units (AMUs) in England. Participants Twenty-nine thousand, two hundred and forty-eight eligible women with a singleton, term and 'booked' pregnancy, planning birth in an MU between April 2008 and April 2010. Methods Multivariable logistic regression was used to explore the sociodemographic and clinical characteristics associated with transfer. Main outcome measures Transfer during labour or within 24 hours of birth. Results Over one in four women were transferred from AMUs and over one in five from FMUs. In both types of MU, compared with multiparous women aged 25-29 years, nulliparous women aged <20 years had higher odds of transfer (FMU-adjusted odds ratio [OR], 4.5; 95% confidence interval [CI], 3.10-6.57; AMU-adjusted OR, 2.6; 95% CI, 2.18-2.06), and the odds of transfer increased with increasing age. Nulliparous women aged ≥35 years in FMUs had 7.4 times the odds of transfer (95% CI, 5.43-10.10) and, in AMUs, 6.0 times the odds of transfer (95% CI, 4.81-7.41). Starting labour care after 40 weeks of gestation and the presence of complicating conditions at the start of labour care were also independently associated with a higher risk of transfer. Conclusions Transfer from MUs is common, especially for first-time mothers. This study provides evidence on the maternal characteristics associated with an increased risk of transfer, which can be used to inform women's choices about place of birth.
National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK Department of Public Health, University of Oxford, Oxford, UK.
This article was published in the following journal.
Name: BJOG : an international journal of obstetrics and gynaecology
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22702241
- DOI: http://dx.doi.org/10.1111/j.1471-0528.2012.03414.x
Medical and Biotech [MESH] Definitions
The practice of assisting women in childbirth.
Various units or machines that operate in combination or in conjunction with a computer but are not physically part of it. Peripheral devices typically display computer data, store data from the computer and return the data to the computer on demand, prepare data for human use, or acquire data from a source and convert it to a form usable by a computer. (Computer Dictionary, 4th ed.)
Official certifications by a physician recording the individual's birth date, place of birth, parentage and other required identifying data which are filed with the local registrar of vital statistics.
The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms.
Information application based on a variety of coding methods to minimize the amount of data to be stored, retrieved, or transmitted. Data compression can be applied to various forms of data, such as images and signals. It is used to reduce costs and increase efficiency in the maintenance of large volumes of data.
OBJECTIVE: To estimate the effect of a midwifery model of care delivered in a freestanding birth center on maternal and infant outcomes when compared with conventional care. DATA SOURCES/STUDY SETTING...
OBJECTIVES: To determine the prevalence of female genital mutilation (FGM) in women giving birth in 2008 in the Netherlands. METHOD:...
Having choices and being involved in decision making contributes to women's positive childbirth experiences. During a physiological birth, women's preferences can play a leading role in the choice of...
OBJECTIVES: to measure the extent to which documented Swedish midwifery care for low-risk labour and birth followed the World Health Organization's (WHO) recommendations for care in normal birth, and...
The purpose of this study is to determine whether cash transfers (conditional and unconditional) can improve health and social outcomes amongst children living in vulnerable households in...
Women pregnant with twins or triplets are at high risk of preterm birth, yet no intervention or approach has served to reduce this risk. A recently completed trial by the NICHD sponsored M...
OBJECTIVE: To investigate if, among women exposed to physical violence during pregnancy, does a targeted intervention consisting of safety planning and referral to community advocacy servi...
Prospective evaluation of birth complication in three differently staffed and equipped units in the same hospital.
There is conflicting evidence regarding the influence of HIV infection on the success of malaria prevention in pregnancy and effect on pregnancy outcome. The purpose of the proposed study...