Linder-Pelz S, Webster M A, Martins J, Greenwell J
University of New South Wales.
Community Health Stud. 1990;14(1):39-46. doi: 10.1111/j.1753-6405.1990.tb00019.x.
Birth centres in Australia provide an option for women and their professional advisors when choosing the setting for childbirth. It is important that empirical information about the risks is available to enable informed decisions to be made. The purpose of this study was to compare the obstetric outcomes for women admitted to the Birth Centre at Royal Hospital for Women in Sydney with outcomes for women admitted to the conventional labour ward, controlling for prenatal and intrapartum risk. The findings indicate that, with the existing back-up provided by the conventional service, the outcomes for women admitted to the Birth Centre were at least as good as those of the other women. The study also shows that there are differences between the two settings in the management of the intrapartum period. The rate of intervention is substantially higher for women admitted to the Labour Ward, after risk is taken into consideration. The evaluation indicates that the Birth Centre offers a viable choice for women with relatively low obstetric risk.
澳大利亚的分娩中心为女性及其专业顾问在选择分娩环境时提供了一种选择。提供有关风险的实证信息对于做出明智的决策很重要。本研究的目的是比较入住悉尼皇家妇女医院分娩中心的女性的产科结局与入住传统产病房的女性的结局，同时控制产前和产时风险。研究结果表明，在传统服务提供的现有后备支持下，入住分娩中心的女性的结局至少与其他女性一样好。该研究还表明，两种环境在产时管理方面存在差异。考虑风险因素后，入住产病房的女性的干预率要高得多。评估表明，分娩中心为产科风险相对较低的女性提供了一个可行的选择。
