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Re: Being Polite to midwivesFrom: Peter Wein (p.wein@obsgyn-mercy.unimelb.EDU.AU)Fri Aug 7 00:30:26 1998
At 10:57 AM 06/08/98 -0500, you wrote: >At Tue, 4 Aug 1998, Betsy Hyde wrote: > >>>Journal of Epidemiology and Community Health 1998; 52:310-317 << > >Ms Hyde; > >I am very interested in reading and commenting on the cited article. >However, I am having a difficult time locating it. can you please tell >me the name of the author (and initials)and the exact title. > >Thanks > >Luis Sanchez-ramos, MD > Can't understand your difficulty Luis - a standard Journal, easily searchable, and the details given are more than adequate to find any journal article - only took me about 5 minutes to locate abstract - here it is - try harder next time. Authors Macdorman MF. Singh GK. Title MIDWIFERY CARE, SOCIAL AND MEDICAL RISK FACTORS, AND BIRTH OUTCOMES IN THE USA Source Journal of Epidemiology & Community Health. 52(5):310-317, 1998 May. ISSN 0141-7681 KeyWords Plus Certified nurse-midwives. Prenatal-care. United-states. Immediate postpartum. Cesarean-section. Controlled trial. North-Carolina. Neonatal care. Weight. Labor. Abstract Study objective-To determine if there are significant differences in birth outcomes and survival for infants delivered by certified nurse midwives compared with those delivered by physicians, and whether these differences, if they exist, remain after controlling for sociodemographic and medical risk factors. Design-Logistic regression models were used to examine differences between certified nurse midwife and physician delivered births in infant, neonatal, and postneonatal mortality, and risk of low birthweight after controlling for a variety of social and medical risk factors. Ordinary least squares regression models were used to examine differences in mean birthweight after controlling for the same risk factors. Study setting- United States. Patients-The study included all singleton, vaginal births at 35-43 weeks gestation delivered either by physicians or certified nurse midwives in the United States in 1991. Main results-After controlling for social and medical risk factors, the risk of experiencing an infant death was 19% lower for certified nurse midwife attended than for physician attended births, the risk of neonatal mortality was 33% lower, and the risk of delivering a low birthweight infant 31% lower, Mean birthweight was 37 grams heavier for the certified nurse midwife attended than for physician attended births. Conclusions-National data support the findings of previous local studies that certified nurse midwives have excellent birth outcomes. These findings are discussed in light of differences between certified nurse midwives and physicians in prenatal care and labour and delivery care practices. Certified nurse midwives provide a safe and viable alternative to maternity care in the United States, particularly for low to moderate risk women. [References: 52] Language English Publication Type Article CC Categories Medical research, general topics. Environmental medicine & public health. Subset Current Contents/Life Sciences Current Contents/Clinical Medicine Institution Reprint available from: Macdorman MF CTR DIS CONTROL & PREVENT NATL CTR HLTH STAT DIV VITAL STAT REPROD STAT BRANCH HYATTSVILLE, MD 20782 USA UNIV KANSAS MED CTR DEPT PREVENT MED TOPEKA, KS USA KANSAS HLTH INST TOPEKA, KS USA Peter Wein Senior Lecturer Department of Obstetrics and Gynaecology University of Melbourne, Mercy Hospital for Women Clarendon Street, East Melbourne 3002 Australia Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690
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