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Operative deliveries in low-risk pregnancies in The Netherlands: primary versus secondary care.

Authors
Type
Published Article
Journal
Birth (Berkeley, Calif.)
Publication Date
Volume
35
Issue
4
Pages
277–282
Identifiers
DOI: 10.1111/j.1523-536X.2008.00254.x
PMID: 19036039
Source
Medline
License
Unknown

Abstract

The rate of operative deliveries was significantly lower for low-risk pregnant women who gave birth in a primary care setting compared with similar women who planned birth in secondary care. As with any retrospective analysis, it was not possible to eliminate bias, such as possible differences between primary and secondary care in assignment of risk status. In addition, known risk factors for interventions, technologies such as induction of labor and fetal monitoring, are only available in secondary care. These findings clearly demonstrate the need for a prospective study to examine the relationship between planned place of birth and mode of delivery and neonatal and maternal outcomes.

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