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Get Full Essay Get access to this section to get all help you need with your essay and educational issues. Get Access Independent Study Essay Sample Does homebirth increase the risk of a negative maternal and fetal outcome in primigravida women Independent study essay birth in a hospital setting?
The student aims to critically analyse the findings of up to date research studies and make recommendations for change where necessary, whilst concluding whether homebirth is a safe option for primigravide women.
In Britain today all women have the right to choose where Independent study essay birth their baby.
For many the decision will be based on convenience, their lifestyle or medical factors with some feeling that a birth at home is a more natural and relaxed place for their baby to be born. The student has chosen to discuss the safety of homebirth for primigravida women from her experience of a negative perinatal outcome while in attendance of a planned homebirth.
This experience has made the student question how safe a birth is outside of a hospital setting for low risk primigravida women. For this independent study the student intends to research quantitative evidence from UK and European based studies to evaluate if there is a correlation between homebirth and negative maternal and neonatal outcomes for low risk primigravida women in comparison to outcomes for primigravidas birthing in a midwifery or obstetric led unit.
The student aims to answer: By answering these questions the student hopes to conclude whether the evidence suggests that homebirth should remain an option for all low risk pregnant woman regardless of parity or whether in the interest of patient safety the guidelines on homebirth in the UK need to be reassessed to put in place additional safety measures or an exclusion criteria to make homebirth a safe option for primigravida.
The aim of this study is to assess whether the home is a safe place for a primigravide woman to birth her baby with the aim of achieving a positive maternal and neonatal outcome. By drawing a conclusion midwives should be able to offer primigravide women evidence based advice and make recommendations based on the findings of the research in order for women to make an informed decision about their planned place of birth.
The birthplace in England national prospective cohort study British Medical Journal, was a large study in to perinatal and maternal outcomes by planned place of birth that encompassed all NHS trusts across England. A total of 64, women with low risk pregnancies, as defined by NICE intrapartum care guidelineand included nearly 17, planned homebirths were recruited over a 2 year period with the study comparing results from home, midwife led unit and obstetric led unit births with researchers primarily focusing on rates of mortality and morbidity in relation to the birth setting.
The study found that overall the rate of a negative maternal outcome occurring which included serious maternal complications and death was 4. Researchers then looked at their results in relation to parity alongside birth setting and found that primigravide women who had opted to birth at home had a greater incidence of neonatal complications arising when compared with primigravide women who had opted to birth in an obstetric or non-obstetric led unit.
The risk of an adverse perinatal outcome was almost double for the homebirth group with 9. For multiparous women there was no significant differences in primary neonatal outcomes between birth settings, which suggests that a homebirth is as safe an option for birth than hospital for women who have previously had uncomplicated spontaneous births.
This research was undertaken by experienced and skilled people whose professional backgrounds were of relevance to the study. The study had a large sample size and was able detect adverse perinatal outcomes through large volumes of statistical information.
The study highlighted that although the incidence of an adverse perinatal outcome in all birth settings is small for healthy low risk pregnancies, this risk is increased for nulliparous women for planned births at home.
Research has previously shown that intra-partum related perinatal mortality IPPM rates defined as deaths from asphyxia, trauma or anoxia as classified by CEMACE are relatively low overall for England and Wales with a rate of 0.
These findings are of particular concern when the results are viewed alongside studies such as the previous study noted, that conclude that the transfer rate for nulliparous women from home is at an alarmingly higher rate than that for multiparous women.
This evidence is drawn primarily from data within the CEMACE report and the researchers acknowledge the limitations of their study and conclude that all data should be interpreted with caution due to conclusions being drawn on incomplete data with comparison groups that were fundamentally different.
The increased risk of perinatal mortality linked to homebirth is not limited to the UK.Independent study paper writing is a skill that takes time to develop, but with practice and organization, students can learn how to write a paper and communicate their topic clearly.
Step 1 Familiarize yourself with the requirements for your paper.
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Independent study paper writing is a skill that takes time to develop, but with practice and organization, students can learn how to write a paper and communicate their topic clearly.
Step 1 Familiarize yourself with the requirements for your paper. Sample Independent Study Proposal #1 Independent Study Proposal The Representation of Housewives in the media, in the ’s 1. A .