Byrne J P, Crowther C A, Moss J R
Queen Victoria Hospital, Adelaide, South Australia, Australia.
Aust N Z J Obstet Gynaecol. 2000 Aug;40(3):268-74. doi: 10.1111/j.1479-828x.2000.tb03333.x.
Birthing centre care offers women with a low risk of complication in pregnancy an alternative to conventional care for the birthing of their baby. It is important these two forms of care are appropriately assessed. A randomised controlled trial comparing the newly opened birthing centre with the established conventional delivery suite was conducted at the then Queen Victoria Hospital, Adelaide, South Australia. The outcomes measured included maternal satisfaction, costs and clinical outcomes both for mother and baby which related to the need for Caesarean section, episiotomy or tear rate and method of feeding. Two hundred and one women attending the hospital's antenatal clinic were randomly allocated to either birthing centre or delivery suite care. One hundred women were allocated to the birthing centre. No differences were found in either group related to clinical outcomes or costs. The only difference in maternal satisfaction was the choice women made for their next birth. More women in the birthing centre group felt they were encouraged to breastfeed immediately after birth. While the numbers in this study were too small to detect any but large differences in outcome, birthing centre care should remain an option for women and further studies undertaken with larger numbers.
分娩中心护理为孕期并发症风险较低的女性提供了一种替代传统护理的分娩方式。对这两种护理形式进行恰当评估很重要。在当时位于南澳大利亚阿德莱德的维多利亚女王医院，开展了一项随机对照试验，将新开设的分娩中心与已有的传统分娩套房进行比较。所测量的结果包括产妇满意度、成本以及母婴的临床结果，这些结果与剖宫产需求、会阴切开术或撕裂率以及喂养方式有关。201名到医院产前门诊就诊的女性被随机分配到分娩中心护理组或分娩套房护理组。100名女性被分配到分娩中心护理组。两组在临床结果或成本方面均未发现差异。产妇满意度方面的唯一差异在于女性对下次分娩的选择。分娩中心护理组中更多女性觉得她们在产后立即得到了母乳喂养的鼓励。虽然本研究中的样本数量太小，除了较大的结果差异外无法检测到其他差异，但分娩中心护理仍应作为女性的一种选择，并应开展更大规模的进一步研究。
