Anne Scupholme BA, CNM, is presently the director of nurse-midwifery services at Jacksor Memorial Hospital in Miami, Florida. These include a hospital based service and a free-standing birth center. She completed her nurse-midwifery education in England and obtained a Bachelor of Arts degree in religious studies from Florida International University in Miami. She is presently studying for her master's degree in Public Health at the University of Miami. She is Chairperson of the Clinical Practice Committee of the American College of Nurse-Midwives.
ARE OUTCOMES COMPROMISED WHEN MOTHERS ARE ASSIGNED TO BIRTH CENTERS FOR CARE?
Version of Record online: 10 JAN 2011
1987 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 32, Issue 4, pages 211–215, July-August 1987
How to Cite
Scupholme, A. and Kamons, A. S. (1987), ARE OUTCOMES COMPROMISED WHEN MOTHERS ARE ASSIGNED TO BIRTH CENTERS FOR CARE?. Journal of Nurse-Midwifery, 32: 211–215. doi: 10.1016/0091-2182(87)90112-1
- Issue online: 10 JAN 2011
- Version of Record online: 10 JAN 2011
A free-standing birth center was established in association with a tertiary care hospital that primarily served an indigent population. Initially, all patient assignments were voluntary. Fifteen months later, a change in policy occurred. In order to reduce the overcrowding in the obstetric suite, the hospital assigned low-risk women to the birth center for maternity care. A study was designed to test the null hypothesis that there would be no difference in outcomes between those who were assigned to the center and those who selected the center for care. One hundred forty-eight women from each group were matched for parity and demographic variables. The outcome results were analyzed and no differences in outcomes were found. The implications for the future of health care for low-risk women of poor socioeconomic status are discussed.