Mapping midwifery and obstetric units in England

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dc.cclicenceCC-BY-NCen
dc.contributor.authorWalsh, Denis
dc.contributor.authorSpiby, Helen
dc.contributor.authorGrigg, Celia
dc.contributor.authorMcCourt, Christine
dc.contributor.authorCulley, Lorraine
dc.contributor.authorBishop, Simon
dc.contributor.authorWilkson, Jane
dc.contributor.authorColeby, Dawn
dc.contributor.authorPacanowski, Lynne
dc.contributor.authorByers, Sonia
dc.contributor.authorThornton, Jim
dc.contributor.authorDodwell, Miranda
dc.date.acceptance2017-09-08
dc.date.accessioned2019-10-31T09:02:22Z
dc.date.available2019-10-31T09:02:22Z
dc.date.issued2017-09-21
dc.descriptionThe author's final peer reviewed version can be found by following the URI link. The Publisher's final version can be found by following the DOI link.en
dc.description.abstractObjective to describe the configuration of midwifery units, both alongside&free-standing, and obstetric units in England. Design national survey amongst Heads of Midwifery in English Maternity Services Setting National Health Service (NHS) in England Participants English Maternity Services Measurements descriptive statistics of Alongside Midwifery Units and Free-standing Midwifery Units and Obstetric Units and their annual births/year in English Maternity Services Findings alongside midwifery units have nearly doubled since 2010 (n = 53–97); free-standing midwifery units have increased slightly (n = 58–61). There has been a significant reduction in maternity services without either an alongside or free-standing midwifery unit (75–32). The percentage of all births in midwifery units has trebled, now representing 14% of all births in England. This masks significant differences in percentage of all births in midwifery units between different maternity services with a spread of 4% to 31%. Key conclusions In some areas of England, women have no access to a local midwifery unit, despite the National Institute for Health&Clinical Excellence (NICE) recommending them as an important place of birth option for low risk women. The numbers of midwifery units have increased significantly in England since 2010 but this growth is almost exclusively in alongside midwifery units. The percentage of women giving birth in midwifery units varies significantly between maternity services suggesting that many midwifery units are underutilised. Implications for practice Both the availability and utilisation of midwifery units in England could be improved.en
dc.exception.reasonAvailable on Notts uni repositoryen
dc.exception.ref2021codes254aen
dc.funderNIHR (National Institute for Health Research)en
dc.identifier.citationWalsh, D., Spiby, H., Grigg, H., Dodwell, M., McCourt, C., Culley, L., Bishop, S., Wilkson, J., Coleby, D., Pacanowski, L., Thornton, J. (2018) Mapping midwifery and obstetric units in England. Midwifery, 56, pp.9-16.en
dc.identifier.doihttps://doi.org/10.1016/j.midw.2017.09.009
dc.identifier.urihttp://eprints.nottingham.ac.uk/47530/
dc.identifier.urihttps://dora.dmu.ac.uk/handle/2086/18677
dc.language.isoenen
dc.peerreviewedYesen
dc.publisherElsevieren
dc.subjectMidwifery unitsen
dc.subjectObstetric unitsen
dc.subjectSurveyen
dc.subjectBirthsen
dc.titleMapping midwifery and obstetric units in Englanden
dc.typeArticleen

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