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Créée le : 19 Apr 2004
Modifiée le : 02 Dec 2007

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Notice bibliographique (sans auteurs) :

An intrapartum intervention scoring system for the comparison of maternity units’ intrapartum care of nulliparous women suitable for midwifery-led care. Midwifery 2004;20(1):15-26.

Auteur·e(s) :

Mead M, Kornbrot D.

Année de publication :

2004

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

Objective:

to develop an intrapartum intervention scoring tool which could be used to define maternity units as either `lower intrapartum intervention’ or `higher intrapartum intervention’ units. This scoring tool was designed to form the basis of a comparison of the perception of risk by midwives working in either `lower intrapartum intervention’ or `higher intrapartum intervention’ units.

Design:

three aspects were included: (1) the systematic data reduction of the St. Mary’s Maternity Information System database used by 11 maternity units to include Caucasian nulliparous women suitable for midwifery-led care; (2) the calculation and the ranking of frequency distributions for the following interventions/management: (a) the management of breech presentation and of one previous caesarean section, the choice of home birth; and (b) augmentation of labour, use of electronic fetal monitoring, use of epidural, method of delivery; (3) the sum of the individual intrapartum ranking marks made up the final intrapartum score for each unit.

Results:

intrapartum interventions varied considerably between units. The scoring system enabled units to be described as either `Lower intrapartum intervention’ or `Higher intrapartum intervention’ units.

Conclusions:

routinely collected computerised data can be used to identify the outcomes of intrapartum care. This study suggests that the analysis of computerised data could provide a suitable basis for the audit and the comparison of intrapartum interventions for the care of women suitable for midwifery-led care.

Sumário (português)  :

Resumen (español)  :

Remarques :

Texte en accès libre.

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Mots-clés :

➡ césarienne ; durée du travail ; lieu de naissance ; accouchement à domicile ; monitoring ; péridurale ; gestion active du travail ; présentation en siège ; dystocie dystocies

Auteur·e de cette fiche :

Cécile Loup — 19 Apr 2004
➡ dernière modification : Bernard Bel — 02 Dec 2007