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Comparison of Midwifery Care to Medical Care in Hospitals in the Quebec Pilot Projects Study: Clinical Indicators

By: Fraser, William; Hatem-Asmar, Marie et al. | Canadian Journal of Public Health, January/February 2000 | Article details

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Comparison of Midwifery Care to Medical Care in Hospitals in the Quebec Pilot Projects Study: Clinical Indicators


Fraser, William, Hatem-Asmar, Marie, Krauss, Isabelle, Maillard, Francoise, et al., Canadian Journal of Public Health


ABSTRACT

The purpose of this study was to compare indicators of process and outcome of midwifery services provided in the Quebec pilot projects to those associated with standard hospital-based medical services. Women receiving each type of care (961 per group) were matched on the basis of socio-demographic characteristics and level of obstetrical risk: We found midwifery care to be associated with less obstetrical intervention and a reduction in selected indicators of maternal morbidity (caesarean section and severe perineal injury). Far neonatal outcome indicators; midwifery care was associated with a mixture of benefits and risks: fewer babies with preterm birth and low …

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