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A COMPARISON OF TWO OBSTETRIC RISK ASSESSMENT TOOLS

Authors

  • Dr. Vanessa A. Marshall cnm, scd

    Assistant Professor, Corresponding authorSearch for more papers by this author
    • Vanessa A. Marshall is an Assistant Professor in the Maternal-Newborn Nursing/Nurse-Midwifeiy Program at the Yale University School of Nursing. A 1970 graduate of the Yale program, she received her Doctor of Science in Maternal & Child Health from the Harvard School of Public Health in 1986.


Maternal-Newborn Nursing/Nurse-Midwifery Program, Yale University School of Nursing, 855 Howard Avenue, P.O. Box 9740, New Haven, CT 06536–0740.

ABSTRACT

The purpose of this study is to examine the usefulness of two existing obstetric risk assessment instruments in predicting intrapartum complications at term. One tool, although not designed to predict problems in labor, is widely used in general populations. The other tool was specifically designed for use in a free-standing birth center. Neither instrument performed well when applied to a sample of 699 clinic patients at term. This inability to identify those who will need hospital care reinforces the necessity for effective referral and transport mechanisms.

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