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Cited by 130Maternal and Perinatal Health InterventionsMaternal and Neonatal HealthcareGlobal Maternal and Child Health

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Collaboration in maternity care: a randomised controlled trial comparing community‐based continuity of care with standard hospital care

Homer, Caroline S. E., Davis, Gregory K., Brodie, Pat M., Sheehan, Athena, Barclay, Lesley M., Wills, Jo, Chapman, Michael G.·2001·BJOG: An International Journal of Obstetrics & Gynaecology
DOI 10.1111/j.1471-0528.2001.00022.x
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Abstract

Objective To test whether a new community‐based model of continuity of care provided by midwives and obstetricians improved maternal clinical outcomes, in particular a reduced caesarean section rate. Design Randomised controlled trial. Setting A public teaching hospital in metropolitan Sydney, Australia. Sample 1089 women randomised to either the community‐based model (n= 550) or standard hospital‐based care (n= 539) prior to their first antenatal booking visit at an Australian metropolitan public hospital. Main outcome measures Data were collected on onset and outcomes of labour, antenatal, intrapartum and postnatal complications, antenatal admissions to hospital and neonatal mortality and morbidity. Results There was a significant difference in the caesarean section rate between the groups, 13.3% (73/550) in the community‐based group and 17.8% in the control group (96/539). This difference was maintained after controlling for known contributing factors to caesarean section (OR=0.6, 95% CI 0.4–0.9, P= 0.02). There were no other significant differences in the events during labour and birth. Eighty babies (14.5%) from the community‐based group and 102 (18.9%) from the control group were admitted to the special care nursery, but this difference was not significant (OR 0.75, 95% CI 0.5‐1.1, P= 0.12). Eight infants died during the perinatal period (four from each group), for an overall perinatal mortality rate of 7.3 per 1000 births. Conclusion Community‐based continuity of maternity care provided by midwives and obstetricians resulted in a significantly reduced caesarean section rate. There were no other differences in clinical outcomes.

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Crossref · 10.1111/j.1471-0528.2001.00022.x

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Citations

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Research works printed but not linked: 10

  1. National Health and Medical Research Council (Aust), 1996, Options for Effective Care in Childbirth
  2. Ministerial Task Force on Obstetric Services in NSW, 1989, Final Report of the Ministerial Task Force on Obstetric Services in NSW
  3. Victorian Department of Health. Having a Baby in Victoria, 1990, Ministerial Review of Birthing Services in Victoria
  4. Michael CA, 1990, Ministerial Task Force to Review Obstetric, Gynaecological and Neonatal Services in Western Australia
  5. Commonwealth Department of Health and Community Services, 1993, Goals and Targets of Australia's Health in the Year 2000 and Beyond
  6. Hodnett ED, 1998, Continuity of care givers during pregnancy and childbirth. The Cochrane Library, Issue 3
  7. 10.1111/j.1523-536X.1997.00017.pp.x · DOI
  8. Nivison‐Smith I, 1998, South Eastern Sydney Area Health Service Social and Demographic Characteristics (summary report)
  9. Homer CSE, 2000, Birth centre or labour ward, Aust J Adv Nurs, 18, 8
  10. Health NSW. Department, Strategic Directions for Health 1998–2003

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Metadata

Authors
Homer, C. S. E., Davis, G. K., Brodie, P. M., Sheehan, A., Barclay, L. M., Wills, J., & Chapman, M. G.
Corresponding author
Homer, Caroline S. E.
ORCID
Venue
BJOG: An International Journal of Obstetrics & Gynaecology
Publisher
Wiley
Published
2001-01
Volume
108
Issue
1
Pages
16-22
ISSN
  • 0306-5456 (ISSN-L)
  • 1470-0328
  • 1471-0528
DOI
10.1111/j.1471-0528.2001.00022.x
OpenAlex
W2052778621
Cited by
130
References
24
Citations by year
2025: 1 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 2 · 2016: 5 · 2015: 11 · 2014: 9 · 2013: 12 · 2012: 9
FWCI
6.59
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1085 d)
Locations
  • BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
  • PubMed (publishedVersion)
  • UTS ePRESS (University of Technology Sydney) (submittedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
community-based maternity care, cesarean section rate, midwifery, obstetrician-led care, labour outcomes, perinatal mortality, neonatal morbidity, prenatal care, hospital care
MeSH terms
Adult, Cesarean Section, Community Health Services, Continuity of Patient Care, Female, Health Services Research, Hospitals, Public, Hospitals, Teaching, Humans, Infant Mortality, Infant, Newborn, Interprofessional Relations, Maternal Health Services, New South Wales, Pregnancy, Pregnancy Outcome, Regression Analysis

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