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Clinical Practice Guidelines for the Screening, Diagnosis, Management and Follow‐up of Neonatal Abstinence Syndrome: A Systematic Review
Author(s) -
Beata Gidaszewski,
Fernando Infante-Torres,
Yasmin Gilbert,
Rachael Morton,
Annie Li,
Kerry,
Chen,
Cecile Pham,
Ju Lee Oei
Publication year - 2017
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.13494_98
Subject(s) - medicine , abstinence , clinical practice , intensive care medicine , medline , pediatrics , family medicine , psychiatry , political science , law
mimics some of the characteristics of Randomized Control Trial by balancing score of baseline covariates betweent study groups. The entire cohort of primaparas who were received care from Caseload Midwifery Program (n = 500) was matched with equal number of women who received standard midwifery care and low risk women who received GP-shared care. The women in the three groups were matched for age, body mass index (BMI) and country of birth. Our results showed higher rates of normal vaginal birth, lower rates of instrumental birth, as well as lower rates of episiotomy and epidural use in labour for women who received care from Caseload Midwifery Program.The differences were statistically significant (p < 0.001) There was no statistically significant differences in neonatal Apgar’s scores or rates of admission to nursery among the groups. Our study provides further evidence about effectiveness of continuity of midwifery care in reduction of rates of labour and birth intervention.