182821 Place of birth and effect on incidence of intrapartal complication, intervention rates, and breastfeeding initiation

Tuesday, October 28, 2008

Diana Jolles, CNM MS , School of Nursing, Texas Woman's University, Corpus Christi, TX
In 2005, the Family Health and Birth Center in Washington DC began utilizing the uniform data set of the American Association of Birth Centers. The practice is a private non-profit established to serve marginalized African American families in the poorest neighborhoods of the nation's capitol. The service model has provided families the choice of continuity midwifery care at the site of client's choosing: freestanding birth center or hospital center. The following analysis presents the effects of delivery site, controlling for provider continuity, pre-existent medical risk factors. Implications for clients, providers and policy makers will be explored.

Learning Objectives:
1. Participants will be able to articulate how the comparison groups (birth center vs. hospital) are uniform in relation to pre-existing medical risk factors and socioeconomic risk profiles. 2. Participants will be able to site three reasons why site of birth effects birth outcomes positively or negatively. 3. Participants will articulate the importance of understanding controling for provider group influences study design.

Keywords: Birth Outcomes, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the general director responsible for administration, utilization and evaluation of our statistical dataset.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: MCH Innovations in Maternity Health Services Poster Session
See more of: Maternal and Child Health