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document
Changing Childbirth : a pilot project . OBJECTIVE To compare the outcomes of an adapted pilot Changing Childbirth initiative providing continuity of care by a group of known midwives with traditional maternity care . DESIGN Between-groups trial to compare levels of satisfaction and clinical outcomes for two groups of women , cared for either under this Changing Childbirth scheme or the traditional model of care . METHOD Of the 200 women who agreed to participate in the project , 100 were randomly allocated to the pilot scheme and 100 to the traditional care package . During the postpartum period , information was collected via a questionnaire about participants ' levels of satisfaction with a variety of aspects of care provided during the antenatal , delivery and postpartum periods . Data about clinical outcomes for the two groups were also obtained . RESULTS Women in the pilot group had significantly more continuity of care throughout each of the three periods , were generally more satisfied with their care , felt that they had more choice over a variety of aspects of care and experienced no compromise in clinical outcomes ( P = 0.05 or less in each case ) . IMPLICATIONS FOR PRACTICE Many previous attempts to introduce the Changing Childbirth initiative have revealed significant problems , particularly with regard to the continuity of carer requirement . Taking account of local health care needs and existing provision , the present study adapted this concept to continuity of care . This did not apparently affect any of the guiding principles contained in the original document , and yet enhanced satisfaction . It would appear that the Changing Childbirth agenda can be adapted and integrated with local health care situations without sacrificing any of the overarching principles .
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Intervention_Educational
Changing Childbirth initiative providing continuity of care by a group of known midwives with traditional maternity care .
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Intervention_Educational
Changing Childbirth scheme or the traditional model of care
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Intervention_Educational
pilot scheme
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Intervention_Educational
traditional care package
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Intervention_Control
.
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Outcome_Other
continuity of care
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Outcome_Other
satisfied
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Outcome_Other
more choice
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Outcome_Other
variety of aspects of care
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Outcome_Other
compromise