Leah L. Albers, CNM, DrPH, received her bachelor's and master's degrees in nursing from Vanderbilt University (1971 and 1974). She studied midwifery at the University of Medicine and Dentistry of New Jersey (1977). She was in full-scope practice for 11 years, eight of which were in a rural county in North Carolina. She completed the Dr.P.H. degree at the University of North Carolina School of Public Health in the spring of 1990. Currently she is a research associate in the UNC School of Public Health.
BIRTH SETTING FOR LOW-RISK PREGNANCIES
An Analysis of the Current Literature
Article first published online: 6 JAN 2011
1991 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 36, Issue 4, pages 215–220, July-August 1991
How to Cite
Albers, L. L. and Katz, V. L. (1991), BIRTH SETTING FOR LOW-RISK PREGNANCIES. Journal of Nurse-Midwifery, 36: 215–220. doi: 10.1016/0091-2182(91)90081-Y
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
This article reviews the literature on birth settings for women with low-risk pregnancies. Methodological issues of the existing research include nonrandom designs, small samples, selection differences, data limitations, and confounding bias. Studies for four birth sites are summarized: the home, freestanding birth centers, in-hospital birthing centers or birthing rooms, and traditional hospital settings. Despite the methodological limitations, nontraditional birth settings present advantages for low-risk women as compared with traditional hospital settings: lower costs for maternity care, and lower use of childbirth procedures, without significant differences in perinatal mortality.