Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery Care

Objective. The objective of this study was to describe the recent clinical characteristics of labor using 3 systems of Japanese midwife-led primary delivery care, as follows: (1) those intending to give birth at home managed by midwives who do not belong to our hospital, (2) those planning to give b...

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Main Author: Shunji Suzuki
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/9101479
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author Shunji Suzuki
author_facet Shunji Suzuki
author_sort Shunji Suzuki
collection DOAJ
description Objective. The objective of this study was to describe the recent clinical characteristics of labor using 3 systems of Japanese midwife-led primary delivery care, as follows: (1) those intending to give birth at home managed by midwives who do not belong to our hospital, (2) those planning to give birth in our hospital managed by the same midwives, and (3) those planning to give birth managed by midwives who belong to our hospital. Methods. A retrospective cohort study was performed. Results. There were no significant differences in the obstetric or neonatal outcomes among the 3 groups. The rate of transfers during labor with the system involving midwives belonging to our hospital was higher than those with the other 2 systems. In addition, the timing of transfers in the system with the midwives belonging to our hospital was earlier than with the other 2 systems. Among the 3 groups, there were no significant differences in the rate of the main 2 indications for transfers: fetal heart rate abnormality and failure to progress. Conclusion. There were no significant differences in perinatal outcomes among the 3 systems; however, there were some differences in the status of transfers to obstetric shared care.
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spelling doaj-art-d7fe29d7bd7f455097720568c28bbb2d2025-02-03T05:59:50ZengWileyNursing Research and Practice2090-14292090-14372016-01-01201610.1155/2016/91014799101479Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery CareShunji Suzuki0Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo 124-0012, JapanObjective. The objective of this study was to describe the recent clinical characteristics of labor using 3 systems of Japanese midwife-led primary delivery care, as follows: (1) those intending to give birth at home managed by midwives who do not belong to our hospital, (2) those planning to give birth in our hospital managed by the same midwives, and (3) those planning to give birth managed by midwives who belong to our hospital. Methods. A retrospective cohort study was performed. Results. There were no significant differences in the obstetric or neonatal outcomes among the 3 groups. The rate of transfers during labor with the system involving midwives belonging to our hospital was higher than those with the other 2 systems. In addition, the timing of transfers in the system with the midwives belonging to our hospital was earlier than with the other 2 systems. Among the 3 groups, there were no significant differences in the rate of the main 2 indications for transfers: fetal heart rate abnormality and failure to progress. Conclusion. There were no significant differences in perinatal outcomes among the 3 systems; however, there were some differences in the status of transfers to obstetric shared care.http://dx.doi.org/10.1155/2016/9101479
spellingShingle Shunji Suzuki
Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery Care
Nursing Research and Practice
title Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery Care
title_full Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery Care
title_fullStr Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery Care
title_full_unstemmed Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery Care
title_short Recent Clinical Characteristics of Labors Using Three Japanese Systems of Midwife-Led Primary Delivery Care
title_sort recent clinical characteristics of labors using three japanese systems of midwife led primary delivery care
url http://dx.doi.org/10.1155/2016/9101479
work_keys_str_mv AT shunjisuzuki recentclinicalcharacteristicsoflaborsusingthreejapanesesystemsofmidwifeledprimarydeliverycare