results data analysis identified twenty subcategories and four main categories. main categories included barriers were related to laboring women, persons providing care, the organization environment and health system. conclusions the adoption of evidence based intrapartum care is a complex process. in this regard, identifying potential barriers is the first step to determine and apply effective...

OBJECTIVE To develop an intrapartum intervention scoring tool which could be used to define maternity units as either 'lower intrapartum intervention' or 'higher intrapartum intervention' units. This scoring tool was designed to form the basis of a comparison of the perception of risk by midwives working in either 'lower intrapartum intervention' or 'higher intrapartum intervention' units. DE...

BACKGROUND The burden of maternal complications during antepartum and intrapartum periods is high and care seeking from a trained provider is low, particularly in low middle income countries of sub-Saharan Africa and South Asia. Identification of barriers to access to trained care and development of strategies to address them will contribute to improvements in maternal health. Using data from a...

OBJECTIVE To describe family doctors' contribution to maternity care in Canada and to observe the influence of age, sex, region of the country, and practice population on provision of maternity care. DESIGN SURVEY College of Family Physicians of Canada's Janus Project national family physician survey. SETTING All 10 provinces and two territories. PARTICIPANTS Random sample of family ph...

BACKGROUND Intrapartum fetal death, the death of a fetus during labour, is a tragic outcome of pregnancy. The intrapartum death rate of a country is reflective of the care received by mothers and babies in labour and it is through analysing these cases that good aspects of care, as well as areas for improvement can be identified. Investigating unexpected neonatal deaths that may be associated w...

BACKGROUND Satisfaction during intrapartum care is the most influential attribute on maternal health service return behaviors and utilization. Measuring satisfaction of women with intrapartum care helps to address the problems and improves the quality of delivery services. The aim of this study is to assess women's level of satisfaction during intrapartum care. METHOD A hospital based, analyt...

BACKGROUND Each year, approximately 2 million babies die because of complications of childbirth, primarily in settings where effective care at birth, particularly prompt cesarean delivery, is unavailable. OBJECTIVE We reviewed the content, impact, risk-benefit, and feasibility of interventions for obstetric complications with high population attributable risk of intrapartum-related hypoxic in...

BACKGROUND There is little published evidence that any aspect of vocational training for general practice improves the quality of care provided by general practitioners (GPs). AIM To investigate whether aspects of education and vocational training predict whether GPs provide intrapartum care. METHOD A five-year prospective cohort study was carried out in the United Kingdom (UK) using respon...

OBJECTIVE To compare perinatal mortality and severe perinatal morbidity between planned home and planned hospital births, among low-risk women who started their labour in primary care. DESIGN A nationwide cohort study. SETTING The entire Netherlands. POPULATION A total of 529,688 low-risk women who were in primary midwife-led care at the onset of labour. Of these, 321,307 (60.7%) intended...