Transfers of Care between Healthcare Professionals in Obstetric Units of Different Sizes across Spain and in a Hospital in Ireland: The MidconBirth Study.

摘要: Background: In Europe, the majority of healthy women give birth at conventional obstetric units with assistance registered midwives. This study examines relationships between intrapartum transfer care (TOC) from midwife to obstetrician-led maternity care, unit size (OUS) different degrees midwifery autonomy, interventions and outcomes. Methods: A prospective, multicentre, cross-sectional promoted by COST Action IS1405 was carried out eight public hospitals in Spain Ireland 2016–2019. The primary outcome TOC. secondary outcomes included type onset labour, oxytocin stimulation, epidural analgesia, birth, episiotomy/perineal injury, postpartum haemorrhage, early initiation breastfeeding skin-to-skin contact. logistic regression performed ascertain effects studied co-variables on likelihood that participants had a TOC; Results: Out total 2,126 low-risk women, those whose initiated (1772) were selected. There statistically significant differences TOC OUS (S1 = 29.0%, S2 44.0%, S3 52.9%, S4 30.2%, p < 0.001). Statistically episiotomy or perineal injury observed (p 0.009, 0.001, 0.001 respectively); Conclusions: Findings suggest model have effect prevalence Future research should examine how models differ as function hospital, well cost-effectiveness for health system.