Risk of perinatal mortality in the first year of midwifery practice in New Zealand: analysis of a retrospective national cohort.

ABSTRACT:

Objectives

To determine whether there was an increased risk of perinatal mortality among mothers booked for care with community lead maternity carer (LMC) midwives in their first compared with later years of practice.

Design

Retrospective cohort study using linked national maternity, mortality and workforce data; adjusted analysis using logistic regression.

Setting

New Zealand.

Participants

Women under community LMC midwifery care birthing 2008-2014.

Main outcome measures

Perinatal mortality (stillbirths and neonatal deaths of babies born from 20 weeks' gestation to the 27th day of postnatal life), excluding terminations and deaths associated with congenital abnormalities.

Results

There were 2045 deaths among 344 910 births booked with midwives.Fi

SUBMITTER: Sadler LC 

PROVIDER: S-EPMC5892737 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature