International Journal of Medical Sciences

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18 December 2017

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Int J Med Sci 2014; 11(5):466-470. doi:10.7150/ijms.8204

Research Paper

Trend Analysis of Primary Midwife-led Delivery Care at a Japanese Perinatal Center

Shunji Suzuki

Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan.

Abstract

Objective: To perform trend analysis of primary midwife-led delivery care for 'low risk' pregnant women at our hospital.

Methods: A retrospective cohort study was performed to examine trends and outcomes of labor under primary midwife-led delivery care at the Japanese Red Cross Katsushika Maternity Hospital between 2008 and 2012.

Results: During the study period, the rate of deliveries initially considered 'low risk' decreased from 25 to 22% (p < 0.01). This change was associated with increased cases of previous Cesarean deliveries and preterm delivery. There were no significant changes in the neonatal outcomes; however, the rate of Cesarean delivery and incidence of severe perineal laceration in primary midwife-led delivery care were decreased from 2.1 and 3.3% to 0.3 (p = 0.02) and 1.1% (p = 0.04), respectively due to the close cooperation between midwives and obstetricians.

Conclusion: The rate of deliveries initially considered 'low risk' decreased over the last 5-year period. Closer cooperation between midwives and obstetricians is important in primary midwife-led delivery care.

Keywords: Midwife-led care, obstetric shared care, referral, Japan.

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How to cite this article:
Suzuki S. Trend Analysis of Primary Midwife-led Delivery Care at a Japanese Perinatal Center. Int J Med Sci 2014; 11(5):466-470. doi:10.7150/ijms.8204. Available from http://www.medsci.org/v11p0466.htm