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Outcomes of mature primiparas in an out-of-hospital birth center
Authors:K Holz  C Cooney  T Marchese
Affiliation:1. Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK;2. Health Poverty Action Sierra Leone, 25 Barracks Road, Murray Town, Freetown, Sierra Leone;1. Faculty of Nursing, Hacettepe University, Sihhiye, 06100 Ankara, Turkey;2. Department of Nursing and Health Services, Faculty of Health Sciences, Baskent University, Baglica Kampusu Eskisehir yolu 20. Km, Etimesgut, 06810 Ankara, Turkey;3. School of Nursing and Department of Women׳s Studies, University of Michigan, 400 North Ingalls Building, Ann Arbor, MI 48109-5482, USA;1. Vanderbilt University School of Nursing, 204 Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA;2. Clinical Concepts in Obstetrics, Inc, Nashville, TN, USA;3. Labor and Delivery, Vanderbilt University Medical Center, Vanderbilt University School of Nursing, Nashville, TN, USA;1. Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA;2. Michigan Department of Health and Human Services, 333 S. Grand Avenue, Lansing, MI 48909, USA;3. Epidemiology Workforce Branch, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA;4. Career Epidemiology Field Officer Program, Division of State and Local Readiness, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, USA
Abstract:This is a retrospective chart review of perinatal outcomes of all primiparas over the age of 24 delivering at Maternity Center Associates, an out-of-hospital birth center, from January 1985 through May 1988 (N = 228). Chi-square analysis was used to determine whether mature primiparas, aged 35 to 43 (n = 27), had significantly more adverse outcomes than younger primiparas, aged 25 to 34 (n = 201). There was a significant difference between the groups in rate of transfer to hospital; however, there were no significant differences in rate of cesarean section, infant birth weight, apgar scores, and length of second stage labor. Implications for practice and future study are examined.
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