In studies using matched or adjusted cohorts, U.S. women beginning labor with midwives and/or in out-of-hospital settings have attained cesarean section rates that are considerably lower than similar women using prevailing forms of care-physicians in hospitals.
This cesarean reduction involved no compromise in mortality and morbidity outcome measures.
Moreover, groups of women at elevated risk for adverse perinatal outcomes have attained excellent outcomes and cesarean rates well below the general population rate with these care arrangements.
How do midwives and out-of-hospital birth settings so effectively help women to avoid unnecessary cesareans?
This paper explores this question by presenting data from interviews with midwives who work in home settings.
Mots-clés Pascal : Césarienne, Technique obstétricale, Accouchement, Femme, Homme, Etats Unis, Amérique du Nord, Amérique, Indication, Sage femme, Personnel sanitaire, A domicile, Système santé, Politique sanitaire, Article synthèse, Chirurgie
Mots-clés Pascal anglais : Cesarean section, Obstetrical technique, Delivery, Woman, Human, United States, North America, America, Indication, Midwife, Health staff, At home, Health system, Health policy, Review, Surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0014450
Code Inist : 002B20G02. Création : 199406.