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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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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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description	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.
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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.</description><identifier>ISSN: 0156-5788</identifier><identifier>EISSN: 1449-8944</identifier><language>eng</language><publisher>Collingwood: CSIRO</publisher><subject>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</subject><ispartof>Australian health review, 2013-07, Vol.37 (4), p.1</ispartof><rights>Copyright Australian Healthcare and Hospitals Association 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1534990390/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1534990390?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,11669,36039,44342,74641</link.rule.ids></links><search><creatorcontrib>d, Jane B</creatorcontrib><creatorcontrib>Bentley, Jason P</creatorcontrib><creatorcontrib>Morris, Jonathan M</creatorcontrib><creatorcontrib>Roberts, Christine L</creatorcontrib><title>Factors associated with changes into public or private maternity care for a second pregnancy</title><title>Australian health review</title><description>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. 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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
title	Factors associated with changes into public or private maternity care for a second pregnancy
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