Back to Search
Start Over
Access and outcomes of general practitioner obstetrician (rural generalist)‐supported birthing units in Queensland.
- Source :
- Australian Journal of Rural Health; Feb2020, Vol. 28 Issue 1, p42-50, 9p, 3 Charts, 1 Graph
- Publication Year :
- 2020
-
Abstract
- Objective: To describe characteristics and outcomes of women birthing within GP‐obstetrician (rural generalist) supported rural (level 3) obstetric units in Queensland. Design: Retrospective descriptive study. Setting: 21 GP‐obstetrician supported birthing units in Queensland. Participants: Women (n = 3111) birthing from January 2017 to December 2017. Main outcome measures: Patient, pregnancy and labour characteristics and key maternal and neonatal outcomes routinely recorded in the Queensland Perinatal Data Collection and Queensland Hospital Admitted Patient Data Collection were compared to Queensland public hospital aggregate data. Results: Women birthing in rural maternity units were significantly more likely to be Aboriginal or Torrs Strait Islander (16% v 9%), < 20 years old (7% v 4%), term deliveries (96% v 91%), achieve spontaneous onset of labour (67% v 51%), and birth (71% v 60%) (p<0.001) compared with all Queensland public hospitals. They were significantly less likely to be nulliparous (36% v 40%), use pharmacological analgesia (65% v 69%), or have continuous electronic fetal monitoring in labour (54% v 66%) (p<0.001). Neonatal outcomes were comparable; with no significant difference in stillbirth rate between rural units and all Queensland public hospitals (4.8 v 7.3 per 1000 births). Precipitate delivery was the most common labour complication (36% v 33%) (p<0.001). Conclusion: GP‐obstetrician (rural generalist) supported rural birthing units in Queensland provide important access for low and medium risk women to deliver locally, with strong indicators of quality and safety. [ABSTRACT FROM AUTHOR]
- Subjects :
- BIRTHING centers
CHI-squared test
CHILDBIRTH
DELIVERY (Obstetrics)
HEALTH services accessibility
LABOR (Obstetrics)
MATERNAL health services
RESEARCH methodology
EVALUATION of medical care
PREGNANCY
PUBLIC hospitals
RESEARCH funding
RURAL conditions
RETROSPECTIVE studies
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 10385282
- Volume :
- 28
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Australian Journal of Rural Health
- Publication Type :
- Academic Journal
- Accession number :
- 141957619
- Full Text :
- https://doi.org/10.1111/ajr.12593