Outcomes, Safety, and Resource Utilization in a Collaborative Care Birth Center Program Compared with Traditional Physician-Based Perinatal Care

D.J. Jackson, J.M. Lang, W.H. Swartz, T.G. Ganiats, J. Fullerton, J. Ecker and U. Nguyen

American Journal of Public Health, 2003, vol. 93, issue 6, 999-1006

Abstract: Objective. We compared outcomes, safety, and resource utilization in a collaborative management birth center model of perinatal care versus traditional physician-based ca re. Methods. We studied 2957 low-risk, low-income women: 1808 receiving collaborative care and 1149 receiving traditional care. Results. Major antepartum (adjusted risk difference [RD]=-0.5%; 95% confidence interval [CI]=-2.5, 1.5), intrapartum (adjusted RD=0.8%; 95% CI=-2.4, 4.0), and neonatal (adjusted RD=-1.8%; 95% CI=-3.8, 0.1) complications were similar, as were neonatal intensive care unit admissions (adjusted RD=-1.3%; 95% CI=-3.8, 1.1). Collaborative care had a greater number of normal spontaneous vaginal deliveries (adjusted RD=14.9%; 95% CI=11.5, 18.3) and less use of epidural anesthesia (adjusted RD=-35.7%; 95% CI=-39.5, -31.8). Conclusions. For low-risk women, both scenarios result in safe outcomes for mothers and babies. However, fewer operative deliveries and medical resources were used in collaborative care.

Date: 2003
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2003:93:6:999-1006_4

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