Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Midwifery. 2000 Dec;16(4):295-302.

A randomised study of midwifery caseload care and traditional 'shared-care'.

Abstract

OBJECTIVES:

To evaluate caseload midwifery care in comparison to traditional 'shared care'.

DESIGN:

Comparative study with area randomisation.

SETTING:

District general hospital in England.

MAIN OUTCOME MEASURES:

'Known carer at delivery,' 'normal vaginal delivery' and 'obstetric intervention'.

SUBJECTS:

All pregnant women delivering in the six areas chosen for the study.

MAIN FINDINGS:

A highly significant difference was found between caseload and traditional care groups in terms of level of 'known carer at delivery' (696/770 94.7%; cf. 52/735 (6.7%), p < 0.001). However, no differences in 'normal vaginal delivery' rates were found (542/770 (70%) cf. 509/735 (69%). There were fewer 'obstetric interventions' in the caseload group, particularly epidural analgesia (80/770 (10%) cf. 110/735 (15%) p = 0.01) and oxytocin augmentation (351/77 (46%) cf. 387/735 (53%), p = 0.01). There were no significant differences found in terms of neonatal outcome.

CONCLUSIONS:

Caseload midwifery results in high levels of 'known carer at delivery' which appears to be associated with a reduction in augmentation and epidural rates but which were not associated with an increase in normal vaginal delivery rate.

PMID:
11080465
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk