Comment on: Patterns of transfer in labour and birth in rural New Zealand.
نویسنده
چکیده
First, I wonder how many women actually remained in the rural community throughout pregnancy. Patterson et al. investigated women after labor initiation and showed that 83% had remained there. However, some women may have been transferred before labor following antepartum triage, thus the women remaining in the community throughout pregnancy may be much fewer. A randomized controlled study showed that of low-risk pregnant women, only 46% delivered their babies solely under midwives’ care: 34% and 16% were transferred to an obstetrics unit before and after labor initiation, respectively. Thus, even for a low-risk pregnancy, 16% of women required obstetric care after the initiation of labor. This percentage corresponds with the transfer rate of Patterson et al. (16.6%), indicating that many who began labor in rural facilities were low-risk pregnant women. This suggests that appropriate antepartum triage was performed in this area.
منابع مشابه
Reply to Comment on: Patterns of transfer in labour and birth in rural New Zealand.
did not collect data on women who may have booked for birth at the rural unit but were transferred out of the model during their pregnancy. There is a very well developed antenatal screening process in place in New Zealand that requires the Lead Maternity Carer (LMC) to refer women with risk factors to an obstetrician, thus only low-risk women are eligible for care in rural or remote rural unit...
متن کاملPatterns of transfer in labour and birth in rural New Zealand.
INTRODUCTION For many women, and particularly rural women, birthing locally and within their own community is important for personal, social and/or cultural reasons. If concerns about the woman or her baby mean transfer to a secondary or tertiary facility is necessary, this can be disruptive and stressful, especially if road transfer is complicated by terrain, weather or distance, as is often t...
متن کاملAddressing the Shortage of Health Professionals in Rural China: Issues and Progress; Comment on “Have Health Human Resources Become More Equal between Rural and Urban Areas after the New Reform?”
Maldistribution of health professionals between urban and rural areas has been a serious problem in China. Urban hospitals attract most of the health professionals with serious shortages in rural areas. To address this issue, a number of policies have been implemented by the government, such as free medical education in exchange for obligatory rural service.
متن کاملMidwives׳ decision making about transfers for 'slow' labour in rural New Zealand.
UNLABELLED Midwives who provided Lead Maternity Care (LMC) to women in rural areas were invited to share their experiences of decision making around transfer in labour. Ethics approval was obtained from the NZ National Ethics Committee. OBJECTIVE to explore midwives׳ decision making processes when making transfer decisions for slow labour progress from rural areas to specialist care. DESIGN...
متن کاملA Study on Energy Efficiency and Economic Productivity of New Zealand’s Agricultural Sector
The realization of sustainable development depends on the efficient use of energy resources. Energy consumption productivity and efficiency are among important indices that play a critical role in explaining the behavior of energy consumption structure of different economic sectors, which in turn, plays a key role in policy making. From among economic sectors, the agriculture sector, as an impo...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Rural and remote health
دوره 11 3 شماره
صفحات -
تاریخ انتشار 2011