Journal of Nurse-Midwifery
FeatureThe National Birth Center Study: Part II—Intrapartum and immediate postpartum and neonatal care
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Cited by (46)
What do women want? Valuing women's preferences and estimating demand for alternative models of maternity care using a discrete choice experiment
2017, Health PolicyCitation Excerpt :In particular, women may choose between two models of care at hospital level: consultant-led care and midwifery-led care. Although some women have expressed concerns regarding the safety of care in MLUs [6], internationally, midwifery-led care has been found to be associated with fewer interventions and comparable adverse outcomes when compared with consultant-led care [7–11]. Women also report higher satisfaction levels following care in a MLU [8], which may be due, in part, to continuity of care.
What women want: Exploring pregnant women's preferences for alternative models of maternity care
2017, Health PolicyCitation Excerpt :The trial also found that interventions during childbirth were fewer in a MLU and a normal birth in a MLU saved the state €57 compared with a normal birth in a CLU. The results echoed international evidence [9–12], and have been the subject of widespread discussion and research in recent years [13–16]. Nevertheless, maternity care in Ireland remains heavily medicalised [17].
The American Association of Birth Centers: History, Membership, and Current Initiatives
2009, Journal of Midwifery and Women's HealthCitation Excerpt :Two key areas that are being targeted for change are the creation of a federal Medicaid facility fee for birth centers by the Center for Medicare and Medicaid Services (CMS) and the reimbursement rate for CNMs under Medicare Part B. While birth center care has been shown to be a safe,9 high quality,9,18-21 and cost-effective22,23 alternative for the delivery of low-risk women,24 it is difficult to quantify absolute cost differences between women who choose to birth in hospitals and women who deliver in birth centers because of self-selected bias, crossover between groups, and differences among providers.23 However, the birth center model of care results in fewer operative births and medical procedures without sacrificing neonatal or maternal outcomes.22,23,25
A review of issues surrounding medically elective cesarean delivery
2007, JOGNN - Journal of Obstetric, Gynecologic, and Neonatal NursingCitation Excerpt :Declercq et al. (2007) reported lengths of stay for planned vaginal births that were 23% shorter (2.4 to 4.3 days) than for planned cesarean delivery. In women planning vaginal births in birth centers (Jackson et al., 2003; Rooks, Weatherby, & Ernst, 1992), lengths of stay were even shorter, with the average discharge occurring between 4 and 12 hours postpartum. Rehospitalization Another factor in the economic impact of planned vaginal birth versus planned cesarean delivery was the increased rate of maternal readmission following cesarean delivery (Liu et al., 2005: Lydon‐Rochelle et al., 2000).
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Judith P. Rooks, CNM, MS, MPH, conducts research and assists a variety of national and international organizations to plan and evaluate projects and programs related to maternal and child health care and family planning services. She lives in Portland, Oregon.