Chamberlain M, Nair R, Nimrod C, Moyer A, England J
University of Ottawa, Ontario, Canada.
Int J Circumpolar Health. 1998;57 Suppl 1:116-20.
An evaluation of a midwife-operated community birthing center was conducted to identify whether it would be safe, cost-effective, and psychologically and socially satisfying for Inuit women in one community in the Northwest Territories. Two nurse-midwives provided antenatal and postnatal care to all pregnant women and delivered those designated as 'low risk' for complications. Another community similar in size but with no community birthing was used for comparison of the three indices. Data were gathered on reproductive histories and pregnancy risk profiles of all women giving birth in a one-year period. The financial costs were calculated for those women transferred out to hospital for delivery and compared with those who stayed in the community. Pregnant women and their partners in both communities, health staff, and community members were interviewed for their feelings and concerns about the birthing services. Preliminary findings suggest that with experienced midwives community births are safe. A minimum of 25 births is required in the community for this project to be cost effective. The women who had their infants in the community expressed satisfaction for a number of reasons.
对一家由助产士运营的社区分娩中心进行了评估，以确定它对西北地区一个社区的因纽特妇女来说是否安全、具有成本效益，以及在心理和社会层面上是否令人满意。两名助产护士为所有孕妇提供产前和产后护理，并为那些被指定为并发症“低风险”的孕妇接生。另一个规模相似但没有社区分娩中心的社区被用于这三项指标的比较。收集了所有在一年期间分娩的妇女的生育史和妊娠风险概况数据。计算了那些被转到医院分娩的妇女的财务成本，并与留在社区分娩的妇女的成本进行了比较。对两个社区的孕妇及其伴侣、医护人员和社区成员进行了访谈，询问他们对分娩服务的感受和担忧。初步调查结果表明，有经验的助产士参与的情况下，社区分娩是安全的。该项目要具有成本效益，社区至少需要有25例分娩。在社区分娩的妇女因多种原因表示满意。
