An Out-of-Hospital Birth Center Using University Referral
作者:
RUSSELL DeJONG,
KIRKW00D SHY,
KATHERINE CAMACHO CARR,
期刊:
Obstetrics & Gynecology
(OVID Available online 1981)
卷期:
Volume 58,
issue 6
页码: 703-707
ISSN:0029-7844
年代: 1981
出版商: OVID
数据来源: OVID
摘要:
Out-of-hospital birth centers are controversial. A retrospective chart review was performed for 150 consecutive patients who had their prenatal care at The Birthplace, a Seattle birth center with certified nursemidwives licensed by the state of Washington. Seventy-two percent of the women were nulliparous. Antepartum or intrapartum hospital referral was necessary for 28% of the patients. An additional 17% of the patients would have been transferred if specific written criteria for transfer had been precisely followed. The cesarean section rate was 6% (9 of 150). Nonoptimal 1-minute Apgar scores of 6 or less were more common in nulliparas (20%) than in multiparas (3%) who delivered at The Birthplace (P<.05). All 5-minute Apgar scores were 7 or more. Three infants had birth weights less than 2500 g. Noncompliance with the transfer criteria was associated with untoward outcome. Patients considering out-of-hospital delivery should be counseled that a high rate of hospital transfer is necessary to minimize risk.
点击下载:
PDF
(412KB)
返 回