A systematic review to examine the evidence regarding discussions by midwives, with women, around their options for where to give birth

详细信息    查看全文

• 作者：Catherine Henshall ; Beck Taylor ; Sara Kenyon
• 关键词：Place of birth ; Midwives ; Systematic review
• 刊名：BMC Pregnancy and Childbirth
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：16
• 期：1
• 全文大小：568 KB
• 刊物主题：Reproductive Medicine; Maternal and Child Health; Gynecology;
• 出版者：BioMed Central
• ISSN：1471-2393

文摘

Background Discussion of place of birth is important for women and maternity services, yet the detail, content and delivery of these discussions are unclear. The Birthplace Study found that for low risk, multiparous women, there was no significant difference in neonatal safety outcomes between women giving birth in obstetric units, midwifery-led units, or home. For low risk, nulliparous women giving birth in a midwifery-led unit was as safe as in hospital, whilst birth at home was associated with a small, increased risk of adverse perinatal outcomes. Intervention rates were reduced in all settings outside hospital. NICE guidelines recommend all women are supported in their choice of birth setting.