To describe our experience with a freestanding birthing center established in conjunction with a university medical center, and to determine the safety and effectiveness of such a program.
The University of California Irvine Medical Center opened a freestanding birthing center 2 miles from the hospital.
The unit provides prenatal, labor, delivery, postpartum and well-baby care 24 hours/day.
All direct patient care is provided by certified nurse-midwives.
Data were collected prospectively to provide a descriptive account and to evaluate maternal and perinatal morbidity and mortality to determine the safety and efficacy of this approach.
During the first 20 months of operation, the University of California Irvine Birthing Center cared for 1830 patients.
Approximately 90% were indigent, 85% were Hispanic, and 35% were nulliparas.
Of the total patients, 12% were transferred antenatally for high-risk conditions and 19% were transferred intrapartum.
The cesarean rate for all patients was 10%. The perinatal mortality rate was six per 1000.
Neonatal morbidity rates, neonatal intensive care unit admissions, and maternal complications were not greater than expected.
The first 20 months of experience with a university-based, freestanding birthing center suggests that this alternative is safe for delivering obstetric and newborn care to low-risk patients. (Obstet Gynecol 1995 ; 86 : 411-6).
Mots-clés Pascal : Centre santé, Accouchement, Centre hospitalier universitaire, Soin santé primaire, Evaluation, Facteur risque, Homme, Femelle
Mots-clés Pascal anglais : Health center, Delivery, Teaching hospital, Primary health care, Evaluation, Risk factor, Human, Female
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0495121
Code Inist : 002B30A04A. Création : 01/03/1996.