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You searched for id:"oai:d-scholarship.pitt.edu:34261". One record found.

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University of Pittsburgh

1. Sanders, Sarah. Perceived safety and support for low-risk pregnancies in the birth center context.

Degree: 2018, University of Pittsburgh

Fewer than 1% of births in the United States occur in birth centers, which produce excellent outcomes for the thousands of women cared for in this setting. Birth centers are independent health care facilities, typically managed by midwives, and often with collaborating physicians. A national study demonstrated a 6% rate of cesarean section, and a 1.1% rate of preterm birth. Much of the literature surrounding how a pregnant woman chooses her birth site highlights the client’s perception of safety and control. In the United States, the medical model has dominated in prenatal care, focusing on screening and intervention in an effort to avert poor birth outcomes. Consequently, physician-managed care during pregnancy has become the default. However, given that an estimated 85% of pregnancies are considered low-risk, a specialized environment like the hospital is not always necessary. In fact, some studies show that hospitals are statistically less safe for this low-risk population, given the increased chance for unnecessary medical interventions. The present study was a secondary analysis of data provided by a single birth center, containing information about the timing and reasoning for clients’ birth site selection. These data were used to meet the two specific aims of the study: 1) identify variables associated with low-risk birth center clients planning for elective hospitalization; and 2) describe this low-risk case group by their rationale for choosing to deliver in hospital. Chart review and questionnaire data were collected for the case group in order to evaluate those clients’ decision-making processes. Results revealed that sampled clients were primarily concerned about the stress of a potential transfer to a hospital during labor. Perceived social support was also a major theme, not only regarding clients’ birth plan but also for their maternal responsibilities in the postpartum period. Clients expressed anxiety over potential complications in labor and birth, as well as challenges in adequate communication between client and provider. The public health significance of these findings lies in the furthered understanding of the factors that influence birth site, particularly in the low-risk pregnant population.

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Sanders, S. (2018). Perceived safety and support for low-risk pregnancies in the birth center context. (Thesis). University of Pittsburgh. Retrieved from http://d-scholarship.pitt.edu/34261/1/SandersSarah_MPHthesis_April2018.pdf ; http://d-scholarship.pitt.edu/34261/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Sanders, Sarah. “Perceived safety and support for low-risk pregnancies in the birth center context.” 2018. Thesis, University of Pittsburgh. Accessed July 17, 2018. http://d-scholarship.pitt.edu/34261/1/SandersSarah_MPHthesis_April2018.pdf ; http://d-scholarship.pitt.edu/34261/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Sanders, Sarah. “Perceived safety and support for low-risk pregnancies in the birth center context.” 2018. Web. 17 Jul 2018.

Vancouver:

Sanders S. Perceived safety and support for low-risk pregnancies in the birth center context. [Internet] [Thesis]. University of Pittsburgh; 2018. [cited 2018 Jul 17]. Available from: http://d-scholarship.pitt.edu/34261/1/SandersSarah_MPHthesis_April2018.pdf ; http://d-scholarship.pitt.edu/34261/.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Sanders S. Perceived safety and support for low-risk pregnancies in the birth center context. [Thesis]. University of Pittsburgh; 2018. Available from: http://d-scholarship.pitt.edu/34261/1/SandersSarah_MPHthesis_April2018.pdf ; http://d-scholarship.pitt.edu/34261/

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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