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In the literature. Safety of the Stockholm Birth Center study: a critical review.

This paper critically appraised the validity and generalizability of the safety of the Stockholm Birth Center care study to determine if it can be relied on to answer the question, 'Is primiparous labor and birth in a birth center as safe for babies as standard medical care?' The retrospective cohor...

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Published in:Birth: Issues in Perinatal Care Vol. 32; no. 2; pp. 145 - 151
Main Authors: Fahy K, Colyvas K
Format: commentary Journal Article
Published: Wiley-Blackwell Jun2005
Online Access:View this record in EBSCOhost
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      dt: Jun2005
      vid: 32
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        2005107346
        10.1111/j.0730-7659.2005.00358.x
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        atl: In the literature. Safety of the Stockholm Birth Center study: a critical review.
      aug:
        au:
          Fahy K
          Colyvas K
        affil: School of Nursing and Midwifery, Faculty of Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
      sug:
        subj:
          Alternative Birth Centers Sweden
          Obstetric Care Sweden
          Patient Safety In Pregnancy
          Primiparas
          Confidence Intervals
          Data Analysis Software
          Descriptive Statistics
          External Validity
          Female
          Independent Variable
          Infant Mortality
          Infant, Newborn
          Pregnancy
          Prospective Studies
          Research Methodology Evaluation
          Retrospective Design
          Selection Bias
          Sweden
          Type II Error
          Infant, Newborn: birth-1 month
          Female
      ab: This paper critically appraised the validity and generalizability of the safety of the Stockholm Birth Center care study to determine if it can be relied on to answer the question, 'Is primiparous labor and birth in a birth center as safe for babies as standard medical care?' The retrospective cohort study is summarized, and statistical and methodological aspects are evaluated. Errors that were identified include selection bias and two forms of performance bias, both involving the independent variable. Nondefinition and lack of control of the independent variable and minor statistical errors were also noted. More serious concerns relate to the validity of an intention-to-treat analysis. Some methodological problems reduced validity of the study and ability to generalize the findings to other birth centers. Birth center care is a desirable and established birth option. A more useful approach to improving maternity care provision could involve comparing multiple birth center sites with each other to find best practice so that it can be analyzed and duplicated.
      pubtype: Academic Journal
      doctype:
        commentary
        Journal Article
      ougenre: Article
    language: English
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