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MIDWIFERY-LED CARE CAN LOWER CAESAREAN SECTION RATES ACCORDING TO THE ROBSON TEN GROUP CLASSIFICATION SYSTEM

INTRODUCTION Midwifery-led care is recognised as the best choice of maternity care for low-risk women. Robson’s Ten Group Classification System (TGCS) is an internationally recognised audit tool, however there is no midwifery-led service presenting their statistics in this way. The objective of this study was to analyse caesarean section rates for the women attending midwifery-led care at the National Maternity Hospital Dublin, Ireland, using the Robson TGCS.
METHODS This is a retrospective study of electronic records for a total of 1097 women who were booked to attend the community midwife team in the National Maternity Hospital, during 2016 and 2017.
RESULTS The rate of caesarean section in low-risk nulliparous women (Robson Group 1) was under 6%, without affecting the perinatal outcome. The induction rate in nulliparous women (Group 2) was 36%, less than the national average the cesarean rates were quadruple in this group.
CONCLUSIONS Low-risk women who attend midwifery-led services, have a low caesarean section rate in this study. This was achieved with continuity of care, good antenatal preparation, and support throughout labour and birth by a dedicated team of midwives. Outcomes can only be truly compared if we use the same criteria to measure them. The TGCS demonstrates the effectiveness of midwifery-led care.

Ketersediaan
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Informasi Detail
Judul Seri
European Journal of Midwifery
No. Panggil
618.2
Penerbit
Dublin, Ireland : European Publishing.,
Deskripsi Fisik
5 p
Bahasa
English
ISBN/ISSN
2585-2906
Klasifikasi
618.2
Tipe Isi
text
Tipe Media
unmediated
Tipe Pembawa
-
Edisi
2020;4(March):7
Subjek
kebidanan
Midwifery
Info Detail Spesifik
-
Pernyataan Tanggungjawab
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Tidak tersedia versi lain

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