Kerimoğlu, Özlem Seçilmiş Selçuk University Selçuklu - Medicine Faculty - Departmant of Obstetrics and Gynecology, Turkey , Pala, Halil Gürsoy İzmir Dr. E. Hayri Üstündağ Obstetrics and Gynecology Hospital - Departmant of Obstetrics and Gynecology, Turkey

Comparison of maternal outcomes between midwife and obstetrician led births

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Aim. The aim of this study is to compare the maternal outcomes of the second and third stages of labor managed by midwives or obstetricians. Method. The medical records of 290 pregnant women who gave birth with spontaneous vaginal delivery from 1 January 2009 to 31 December 2009 in a county hospital were examined retrospectively. The inclusion criteria comprised women whose singleton uncomplicated pregnancies were at term, with their babies born alive and without augmentation. Group 1 included women who gave birth with obstetricians and Group 2 included women who gave birth with midwives. Results. There were 84 (29%) cases in Group 1 and 204 (71%) in Group 2. There was no difference between the groups with regard to age, gravid, vacuum extraction, presence of episiotomy, complications of episiotomy, and complete or partial placenta retention. The decrease between the prepartum and postpartum hemoglobin levels were 1.3±1.1 g/dL in Group 1 and 0.8±1.2 g/dL in Group 2, and the difference was significant (p=0.005). The mean postpartum hospitalization days were 1.7±1 days in Group 1 and 1.3±0.7 days in Group 2. It was significantly longer in Group 1 (p=0.003). Conclusion. The follow-up and management of the second and third stages of labor in low risk pregnancies can be reliably performed by midwives.

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Midwife , obstetrician , labor , episiotomy

Cumhuriyet Medical Journal

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