Comparison of types of management of normal labor and maternal fetal outcome

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Publication Type thesis
School or College College of Nursing
Department Nursing
Author Storm, Shannon Gail
Title Comparison of types of management of normal labor and maternal fetal outcome
Date 1979-08
Description An inferential study comparing maternal and newborn morbidity and mortality between two groups of low risk pregnancies was conducted. Group I was comprised of 100 home births managed by a certified nurse-midwives with a non- interventionist philosophy of obstetrical practice. Group II was comprised of 100 hospital deliveries managed by obstetricians with an interventionist philosophy of obstetrical practice. Data collection was by retrospective chart review. There was no significant difference between labor and delivery complications in the two groups. Analysis of fetal/neonatal complications showed more recorded intrapartum fetal distress, newborn jaundice requiring treatment with bililights, forceps related bruising, and cephalohematomas in the hospital group. Analysis of maternal postpartum complications showed more recorded uterine atony requiring treatment with oxytocics, in addition to those given immediately after delivery of the placenta, in the hospital delivery group. In can not always be determined whether the differences are a result of intervention and non-intervention in a normal labor, or differences in charting and follow-up of patients. There were no maternal or newborn deaths in this study. Ultimately, both groups had a safe, healthy outcome. This study did not support the philosophy that additional medical and obstetrical procedures rendered in the hospital results in improved outcome for a low risk-pregnancy. Offering options to these women as a type and amount of intervention would seemingly not increase maternal and newborn mortality or morbidity.
Type Text
Publisher University of Utah
Subject Childbirth; Labor (Obstetrics)
Subject MESH Obstetrics; Labor, Obstetric; Midwifery
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Comparison of types of management of normal labor and maternal fetal outcome Spencer S. Eccles Health Sciences Library.
Rights Management © Shannon Gail Storm.
Format Medium application/pdf
Format Extent 1,107,333 bytes
Identifier undthes,3937
Source Original University of Utah Spencer S. Eccles Health Sciences Library (no longer available)
Master File Extent 1,107,373 bytes
ARK ark:/87278/s6cn75r2
Setname ir_etd
ID 191734
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