City Research Online

Abstract

Objective
To analyze the factors associated with maternal transfer from a freestanding birth center (FBC) to the hospital and the maternal and neonatal outcomes of these transfers.

Methods
This cross-sectional study was conducted at the Casa Angela FBC (São Paulo, SP, Brazil) with 3,397 women admitted for birth from 2012 to 2021. This population was divided into three groups according to the primary outcome (no transfer, intrapartum transfer, and postpartum transfer). Descriptive statistics, multinomial logistic regression, and odds ratio calculation were used in the analysis.

Results
Transfer rates were calculated for intrapartum (19.2%) and postpartum (2.6%). The factors that increased the chance of intrapartum transfer were the following: advanced maternal age, labor induction with natural methods, and amniotomy. Having had a previous vaginal birth and having a bathtub bath during labor were the factors that reduced this chance. Postpartum hemorrhage and third-degree perineal laceration were the factors that increased the chance of postpartum transfer; having a bathtub bath during labor was the factor that reduced this chance. The cesarean section rate among women transferred was 43%; women transferred intrapartum (0.2%) and postpartum (0.9%) remained in the intensive care unit (ICU); 97.4% of babies born in the hospital had an Apgar score ≥7 at 5 min, and 7.3% of them were admitted to the ICU.

Conclusion
Understanding the factors associated with maternal transfers can prevent these occurrences and their complications. The outcomes in the hospital after transfer reinforce the safety of the care model provided at the FBC.

Publication Type:	Article
Additional Information:	This article is licensed under a Creative Commons Attribution License.
Publisher Keywords:	Birthing centers, Natural childbirth, Patienttransfer, Nurse-midwifery, 1110 Nursing, Nursing, 4205 Nursing
Subjects:	R Medicine > RG Gynecology and obstetrics
Departments:	School of Health & Medical Sciences
SWORD Depositor:	Symplectic Administrator

Export

Downloads