Experience with an alternative birth center in a university hospital. 1983

D W Laube

Consumer interest has generated the widespread popularity of the alternative birth center (ABC) in recent years. The Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, recently incorporated such a center into a tertiary care educational facility. Intrapartum transfer of 39 (20%) ABC patients to a conventional delivery area demonstrated the need for careful clinical assessment of the patient. The cesarean section rate and forceps delivery rate of all ABC patients were less than half those of the overall obstetric population in the period studied. Serious fetal and maternal complications occurred infrequently but underscored the need for access to full hospital facilities. Low-risk, consumer-oriented obstetric service can be provided safely within the confines of a tertiary care referral service while providing the additional advantage of professional and patient education.

UI MeSH Term Description Entries
D007484 Iowa State bounded on the north by Minnesota, on the east by Wisconsin and Illinois, on the south by Missouri, and on the west by Nebraska and South Dakota.
D007744 Obstetric Labor Complications Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both. Complications, Labor,Labor Complications,Complication, Labor,Complication, Obstetric Labor,Complications, Obstetric Labor,Labor Complication,Labor Complication, Obstetric,Labor Complications, Obstetric,Obstetric Labor Complication
D009775 Obstetrics and Gynecology Department, Hospital Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients. Hospital Obstetrics and Gynecology Department,Obstetrics Department,Obstetrics Department Hospital,Obstetrics, Gynecology Department, Hospital,Department, Obstetrics,Departments, Obstetrics,Obstetrics Departments
D009873 Operating Rooms Facilities equipped for performing surgery. Operating Room,Room, Operating,Rooms, Operating
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D003696 Delivery Rooms Hospital units equipped for childbirth. Birthing Centers, Hospital,Birth Centers, Hospital,Center, Hospital Birth,Center, Hospital Birthing,Centers, Hospital Birth,Centers, Hospital Birthing,Delivery Room,Hospital Birth Centers,Hospital Birthing Centers,Room, Delivery,Rooms, Delivery,Birth Center, Hospital,Birthing Center, Hospital,Hospital Birth Center,Hospital Birthing Center
D005260 Female Females
D006748 Hospital Departments Major administrative divisions of the hospital. Departments, Hospital,Department, Hospital,Hospital Department
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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