Ryder, Gemma

Shank, Melissa

English

Digital Commons @ West Chester University

West Chester UniversityDigital Commons @ West Chester UniversityNursing Student Work Nursing2015Care in Birth Centers vs. Hospitals: Which isbetter?Melissa ShankWest Chester University of PennsylvaniaGemma RyderWest Chester University of PennsylvaniaFollow this and additional works at: http://digitalcommons.wcupa.edu/nurs_stuworkPart of the Maternal, Child Health and Neonatal Nursing CommonsThis Poster is brought to you for free and open access by the Nursing at Digital Commons @ West Chester University. It has been accepted for inclusionin Nursing Student Work by an authorized administrator of Digital Commons @ West Chester University. For more information, please contactwcressler@wcupa.edu.Recommended CitationShank, M., & Ryder, G. (2015). Care in Birth Centers vs. Hospitals: Which is better?. Retrieved fromhttp://digitalcommons.wcupa.edu/nurs_stuwork/32PLACE ONE, TWO OR THREE TABLES, GRAPHS or PHOTOSHEREResultsWhat We LearnedBirth center care delivers more positive maternal outcomes than standard care within the hospital due to less medical interventions and postpartum complications.BackgroundBoth birth centers and hospital wards are common settings for birth, which lead to unique maternal outcomes and complications. Methods● Database search - CINAHL ● Published 2011-2015● Majority written by nurses● Four research studies were evaluated to compose a synthesis of common results. Discussion● Fewer medical interventions in the birthing process leads to improved maternal outcomes.● In standard care, visualization of medical equipment and interventions promotes their use, leading to unnecessary interventions.● Birth center care promotes the natural process of childbirth with as good or improved maternal outcomes when compared to standard care in a hospital. AcknowledgmentsNext StepsWe thank Dr. Monturo and West Chester University.Sample● Low-risk pregnant women studied in hospitals and birth centers○ Carrying one child at full gestation, vertex position, less than 40 years old, BMI less than 30, no previous c/sec, no history of smoking, HTN, or diabetes, no antepartum complications.To investigate the differences in interventions and maternal outcomes based on standard care in a hospital or in a birth center setting.Purpose & AimsLimitations● Findings are limited to four research studies.● Each study focuses on different variables.● Results may not be applicable to all healthcare settings.Care in Birth Centers vs. Hospitals:Which is better?Melissa Shank and Gemma Ryder● Explore more research studies○ Expand on findings○ Include more birth centers● Provide research to expecting parents○ Interventions and maternal outcomes● Birth centers use fewer interventions during labor○ Significantly fewer C-sections ○ Decreased assisted vaginal deliveries○ Less use of epidural analgesia● Birth centers have equal or improved maternal outcomes○ No difference in postpartum hemorrhage○ Fewer anal sphincter tears○ Lower incidence of urinary retention

Care in Birth Centers vs. Hospitals: Which is better?

https://digitalcommons.wcupa.edu/cgi/viewcontent.cgi?article=1010&amp;context=nurs_stuwork

Care in Birth Centers vs. Hospitals: Which is better?

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