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Créée le : 06 Dec 2005
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Notice bibliographique (sans auteurs) :

Outcomes of free-standing, midwife-led birth centers: a structured review. Birth. 2004 Sep;31(3):222-9.

Auteur·e(s) :

Walsh D, Downe SM.

Année de publication :

2004

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

BACKGROUND: Over the last two decades, childbirth worldwide has been increasingly concentrated in large centralized hospitals, with a parallel trend toward more birth interventions. At the same time in several countries, interest in midwife-led care and free-standing birth centers has steadily increased. The objective of this review is to establish the current evidence base for free-standing, midwife-led birth centers. METHODS: A structured review, based on Cochrane guidelines, was conducted that included nonrandomized studies. The comparative outcomes measured were rates of normal vaginal birth; cesarean section; intact perineum; episiotomy; transfers; and babies remaining with their mothers. RESULTS: Of the 5 controlled studies that met the review criteria, all except one was a single site study. Since no study was randomized, meta-analysis was not performed. The included studies all raised quality concerns, and significant heterogeneity was observed among them. For the outcomes measured, every study reported a benefit for women intending to give birth in the free-standing, midwife-led unit. CONCLUSIONS: The benefits shown for women recruited into the included studies who intended to give birth in a free-standing, midwife-led unit suggest a question about the efficacy of consultant unit care for low-risk women. However, the findings cannot be generalized beyond the individual studies. Good quality controlled studies are needed to investigate these issues in the future.

Sumário (português)  :

Resumen (español)  :

Remarques :

Argument (français) :

Sécurité des maisons de naissance indépendantes, UK: très variable d’un lieu à un autre.

Argument (English):

Argumento (português):

Argumento (español):

Mots-clés :

➡ lieu de naissance ; maison de naissance maisons de naissance ; médecine factuelle

Auteur·e de cette fiche :

Cécile Loup — 06 Dec 2005