Maternal Outcomes in Birth Centers: An Integrative Review of the Literature

Journal of Midwifery & Women's Health
Jill Alliman, Julia C Phillippi

Abstract

The birth center, a relatively recent innovation in maternity care, is an increasingly popular location of birth. The purpose of this integrative literature review is to assess the research on maternal outcomes from birth center care. Using methods by Whittemore and Knafl, we conducted an integrative review of studies of birth centers published in English since 1980. Twenty-three quantitative sources and 9 qualitative sources describing maternal outcomes of birth center care were reviewed and synthesized. Outcomes for women receiving birth care were positive. Spontaneous vaginal birth rates and perineal integrity were higher for women beginning care in a birth center compared to women in hospital care. Rates of cesarean birth were also lower for women planning birth center care. Transfer rates are difficult to compare across studies, but antepartum transfer rates ranged from 13% to 27.2%. Intrapartum transfer rates ranged from 11.6% to 37.4%, and from 11.6% to 16.5% in studies published from 2011 to 2013. Nulliparous women had higher rates of transfer than multiparous women. Few severe maternal outcomes and no maternal deaths were reported in any studies. Women were satisfied with the comprehensive, personalized care that they ...Continue Reading

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Citations

Feb 9, 2018·Journal of Midwifery & Women's Health·Julia C PhillippiR David Phillippi
Oct 3, 2019·Revista gaúcha de enfermagem·Tamara Cristina da Matta de OliveiraAudrey Vidal Pereira
Feb 7, 2020·Obstetrics and Gynecology·Richard R LotshawJ Michael Newton
Apr 12, 2020·Journal of Midwifery & Women's Health·Jill Alliman, Kate Bauer
Sep 9, 2020·Journal of Korean Academy of Nursing·Ji Young Song, Young Joo Park
Jan 31, 2017·Journal of Midwifery & Women's Health·Diana R Jolles
Apr 3, 2018·Journal of Midwifery & Women's Health·Sharon Bond
Jun 6, 2018·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jacqueline Wallace
Aug 18, 2020·The Journal of Perinatal & Neonatal Nursing·Lana Amelia Giles
Dec 19, 2020·Journal of Midwifery & Women's Health·Jessica ReszelAnn E Sprague
Dec 31, 2020·Journal of Midwifery & Women's Health·Cecilia M JevittDiana R Jolles
Jan 17, 2021·Nursing for Women's Health·Sarah A SandersMartha A Terry
Sep 9, 2021·Circulation·Laxmi S MehtaUNKNOWN American Heart Association Advocacy Coordinating Committee

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