Ljósmæðrablaðið - 01.12.2022, Page 54

1. tölublað · 100. árgangur · desember 202254
LjósmæðrabLaðið
Background
The health of mothers and newborns
after childbirth is often assessed with
indi vidual outcome measures such as
caesarean section, postpartum haem­
orrhage and Apgar score of the newborn.
Al though each individual outcome is
im portant it is also essential to look at
the bigger picture, as the main goal of
maternity care is to maximize the group
that experiences the childbirth process
without major complications.
Purpose
To describe the change in incidence of
un­complicated deliveries over a 10 year
period in Iceland (2009­2018).
Method
The study is a population based study. The
data came from the Icelandic medical
birth register from the years 2009­2018.
The variable un­complicated delivery
was defined as: Vaginal birth without
instrumental delivery, no episiotomy or
third and fourth degree perineal tears,
without postpartum haemorrhage, and
a live born newborn with 5 min Apgar
≥7 which did not need NICU admission.
The incidence of the un­complicated
delivery during the study period was
described and compared between two
periods (first and second half of the study
period), and stratified by women’s socio­
demographic and obstetric background.
Adjusted Odds Ratios were calculated
for the relationship between background
variables and un­complicated deliveries.
Results
The incidence of un­complicated deliv­
eries decreased, from 62,7% in 2009 to
59,0% in 2018. The biggest change over
the study period was an increase in the
incidence of postpartum haemorrhage.
The socio­demographic and obstetric
background that had the strongest asso­
ciation with un­complicated delivery was
to have given birth before, to have an
Icelandic citizenship and to be younger
than 40 years old.
Conclusion
The goal of maternity care is to maximize
the health of mothers and newborns.
Analyzing childbirth services in this
manner provides a more complete picture
of maternal and neonatal health. Future
research can therefore use this method
in order to further examine which groups
could benefit the most from targeted
measures in antenatal and intrapartum
care to increase un­complicated deliveries
in Iceland.
Key words
un-complicated deliveries
intervention
maternal outcome
neonatal outcome
AbstractAuthors
Hildur Holgersdóttir, RN,
RM, BS, MS 1, 2, 3
Berglind Hálfdánsdóttir,
associate professor, RN,
RM, BS, MS, PhD 4
Emma Marie Swift, assistant
professor, RM, BSc, MSc,
PhD 3, 4
1 Labor unit, Landspítali National
University Hospital of Iceland.
2 Miðbær Health Care Centre, Primary
Care of the Capital Area, Reykjavík,
Iceland.
3 Reykjavík Birth Centre.
4 Faculty of Nursing and Midwifery,
University of Iceland.
english summary
Un­Complicated Deliveries: A
Comprehensive View of Maternal
and Newborn Health
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