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dc.contributor.authorTennett, Debra
dc.contributor.authorKearney, Lauren
dc.contributor.authorKynn, Mary
dc.date.accessioned2020-02-07T05:21:48Z
dc.date.available2020-02-07T05:21:48Z
dc.date.issued2020
dc.identifier.issn1038-5282
dc.identifier.doi10.1111/ajr.12593
dc.identifier.urihttp://hdl.handle.net/10072/391227
dc.description.abstractOBJECTIVE: To describe characteristics and outcomes of women birthing within GP-obstetrician (rural generalist) supported rural (level 3) obstetric units in Queensland. DESIGN: Retrospective descriptive study. SETTING: 21 GP-obstetrician supported birthing units in Queensland. PARTICIPANTS: Women (n = 3111) birthing from January 2017 to December 2017. MAIN OUTCOME MEASURES: Patient, pregnancy and labour characteristics and key maternal and neonatal outcomes routinely recorded in the Queensland Perinatal Data Collection and Queensland Hospital Admitted Patient Data Collection were compared to Queensland public hospital aggregate data. RESULTS: Women birthing in rural maternity units were significantly more likely to be Aboriginal or Torrs Strait Islander (16% v 9%), < 20 years old (7% v 4%), term deliveries (96% v 91%), achieve spontaneous onset of labour (67% v 51%), and birth (71% v 60%) (p<0.001) compared with all Queensland public hospitals. They were significantly less likely to be nulliparous (36% v 40%), use pharmacological analgesia (65% v 69%), or have continuous electronic fetal monitoring in labour (54% v 66%) (p<0.001). Neonatal outcomes were comparable; with no significant difference in stillbirth rate between rural units and all Queensland public hospitals (4.8 v 7.3 per 1000 births). Precipitate delivery was the most common labour complication (36% v 33%) (p<0.001). CONCLUSION: GP-obstetrician (rural generalist) supported rural birthing units in Queensland provide important access for low and medium risk women to deliver locally, with strong indicators of quality and safety.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.publisher.placeAustralia
dc.relation.ispartofjournalAustralian Journal of Rural Health
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchStudies in Human Society
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode16
dc.subject.keywordsrisk
dc.subject.keywordsrural
dc.subject.keywordsMATERNITY UNIT
dc.subject.keywordsHOSPITALS
dc.titleAccess and outcomes of general practitioner obstetrician (rural generalist)-supported birthing units in Queensland
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationTennett, D; Kearney, L; Kynn, M, Access and outcomes of general practitioner obstetrician (rural generalist)-supported birthing units in Queensland, Australian Journal of Rural Health, 2020
dcterms.dateAccepted2019-10-30
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-02-07T04:40:16Z
dc.description.versionVersion of Record (VoR)
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version
gro.rights.copyright© 2020 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorTennett, Debra A.


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