Factors associated with changes into public or private maternity care for a second pregnancy

The aim of this study was to determine whether outcomes in a first pregnancy were associated with changes into and out of public maternity care. The study population included 155, 492 women with first and second sequential singleton births, 2000-2009 in New South Wales. Analyses were stratified by w...

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Bibliographic Details
Published in:Australian health review 2013-07, Vol.37 (4), p.1
Main Authors: d, Jane B, Bentley, Jason P, Morris, Jonathan M, Roberts, Christine L
Format: Article
Language:English
Subjects:
Babies
Caregivers
Changes
Childbirth & labor
Data collection
Discriminant analysis
Epidural
Hemorrhage
Maternal child nursing
Morbidity
Obstetrics
Patients
Population
Postpartum period
Pregnancy
Premature birth
Private medical care
Public health
Regression analysis
Studies
Vagina
Womens health
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Summary:The aim of this study was to determine whether outcomes in a first pregnancy were associated with changes into and out of public maternity care. The study population included 155, 492 women with first and second sequential singleton births, 2000-2009 in New South Wales. Analyses were stratified by whether obstetric care for the first birth involved private or public maternity care. Interventions, infant and maternal outcomes were assessed as predictors of a change in care. Adjusted odds ratios for changing care were obtained from logistic regression using backwards elimination. Results show similar proportions of women changed from private to public care between first and second births. Although interventions (operative delivery, epidural) and outcomes (low Apgar, preterm birth, perinatal death, postpartum haemorrhage, perineal tear and severe maternal morbidity) were all associated with changes from public to private care, only poor infant condition was associated with a change from private to public care.
ISSN:0156-5788
1449-8944