Get access

Does allocation of low risk parturient women to a separate maternity unit decrease the risk of emergency cesarean section?

Authors

  • BRITT-INGJERD NESHEIM,

    Corresponding author
    1. Department of Obstetrics and Gynecology, Oslo University Hospital Ulleval, Oslo, Norway
    2. Faculty of Medicine, University of Oslo, Oslo, Norway
      Britt-Ingjerd Nesheim, Faculty of Medicine, University of Oslo, PB 1078, Blindern, NO-0316, Oslo, Norway. E-mail: b.i.nesheim@medisin.uio.no
    Search for more papers by this author
  • ANNE ESKILD,

    1. Faculty of Medicine, University of Oslo, Oslo, Norway
    2. Department of Obstetrics and Gynecology, Akershus University Hospital, Lørenskog, Norway
    3. Department of Mental Health, Norwegian Institute of Public Health, Oslo, Norway
    Search for more papers by this author
  • LEIF GJESSING

    1. Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway
    Search for more papers by this author

Britt-Ingjerd Nesheim, Faculty of Medicine, University of Oslo, PB 1078, Blindern, NO-0316, Oslo, Norway. E-mail: b.i.nesheim@medisin.uio.no

Abstract

Objective. To study whether the selection of low risk parturient women into a separate maternity unit leads to a lower risk of emergency cesarean section, compared to giving birth in a unit with mixed cases. Design. Hospital based registry study. Setting. Maternity units in two university hospitals in Oslo, Norway. Population. All low risk parturient women with attempted vaginal deliveries in the years 2001–2003, a total number of 11,686 deliveries. Methods. Data were obtained from standardized patient records and risks of cesarean section were estimated as odds ratios. Main outcome measures. Emergency cesarean section risk. Results. Compared with women giving birth in a unit with mixed cases, women giving birth in a maternity unit with low risk cases only had a higher risk of emergency cesarean section (OR 1.4; 95% CI 1.2–1.6). Conclusions. Giving birth in a low risk maternity unit is associated with a higher risk of cesarean section for low risk parturient women compared with giving birth in a maternity unit with mixed cases.

Get access to the full text of this article

Ancillary