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dc.contributor.authorMead, M.
dc.contributor.authorKornbrot, D.
dc.date.accessioned2011-08-08T15:01:07Z
dc.date.available2011-08-08T15:01:07Z
dc.date.issued2004
dc.identifier.citationMead , M & Kornbrot , D 2004 , ' An intrapartum intervention scoring system for the comparison of maternity units' intrapartum care of nulliparous women suitable for midwifery led care ' , Midwifery , vol. 20 , pp. 15-26 . https://doi.org/10.1016/S0266-6138(03)00049-4
dc.identifier.issn0266-6138
dc.identifier.otherPURE: 134562
dc.identifier.otherPURE UUID: b2397d96-7090-46ff-ab9d-51aa49c60362
dc.identifier.otherdspace: 2299/519
dc.identifier.otherScopus: 1542268894
dc.identifier.urihttp://hdl.handle.net/2299/6085
dc.descriptionOriginal article can be found at : http://www.sciencedirect.com/science/ Copyright Elsevier
dc.description.abstractObjective: 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. Design: three aspects were included: (1) the systematic data reduction of the St. Mary's Maternity Information System database used by 11 maternity units to include Caucasian nulliparous women suitable for midwifery-led care; (2) the calculation and the ranking of frequency distributions for the following interventions/management: (a) the management of breech presentation and of one previous caesarean section, the choice of home birth; and (b) augmentation of labour, use of electronic fetal monitoring, use of epidural, method of delivery; (3) the sum of the individual intrapartum ranking marks made up the final intrapartum score for each unit. Results: intrapartum interventions varied considerably between units. The scoring system enabled units to be described as either ‘Lower intrapartum intervention’ or ‘Higher intrapartum intervention’ units. Conclusions: routinely collected computerised data can be used to identify the outcomes of intrapartum care. This study suggests that the analysis of computerised data could provide a suitable basis for the audit and the comparison of intrapartum interventions for the care of women suitable for midwifery-led care.en
dc.language.isoeng
dc.relation.ispartofMidwifery
dc.rightsOpen
dc.subjectPsychology
dc.titleAn intrapartum intervention scoring system for the comparison of maternity units' intrapartum care of nulliparous women suitable for midwifery led careen
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionDepartment of Psychology
dc.contributor.institutionApplied and Practice-based Research
dc.contributor.institutionPsychology
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.description.statusPeer reviewed
dcterms.dateAccepted2004
rioxxterms.versionofrecordhttps://doi.org/10.1016/S0266-6138(03)00049-4
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeOpen


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