{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-IXENYTJQ/948ae79d-ae85-434e-b326-bf526f8ced17/PDF","dcterms:extent":"618 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-IXENYTJQ/42908604-731f-4e83-96a5-dd0f9e8d6059/TEXT","dcterms:extent":"47 KB"}],"edm:TimeSpan":{"@rdf:about":"1994-2025","edm:begin":{"@xml:lang":"en","#text":"1994"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-IXENYTJQ","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-H53UG7JV"},{"@xml:lang":"sl","#text":"Obzornik zdravstvene nege"}],"dcterms:issued":"2014","dc:creator":["Poat, Angela","Prelec, Anita","Verdenik, Ivan"],"dc:format":[{"@xml:lang":"sl","#text":"številka:3"},{"@xml:lang":"sl","#text":"letnik:48"},{"@xml:lang":"sl","#text":"str. 166-176"}],"dc:identifier":["ISSN:1318-2951","COBISSID:520235289","URN:URN:NBN:SI:doc-IXENYTJQ"],"dc:language":"en","dc:publisher":{"@xml:lang":"sl","#text":"Zbornica zdravstvene nege"},"dc:subject":[{"@xml:lang":"en","#text":"childbirth"},{"@xml:lang":"en","#text":"labour"},{"@xml:lang":"en","#text":"low risk"},{"@xml:lang":"sl","#text":"medical interventions"},{"@xml:lang":"sl","#text":"medicinske intervencije"},{"@xml:lang":"sl","#text":"nizko tveganje"},{"@xml:lang":"sl","#text":"perinatal outcomes"},{"@xml:lang":"sl","#text":"perinatalni izidi"},{"@xml:lang":"sl","#text":"porod"}],"dcterms:temporal":{"@rdf:resource":"1994-2025"},"dc:title":{"@xml:lang":"sl","#text":"A comparison of frequency of medical interventions and birth outcomes between the midwife led unit and the obstetric unit in low-risk primiparous women| Primerjava pojavnosti medicinskih intervencij in porodnih izidov pri nizkorizičnih prvorodnicah v samostojni babiški enoti in porodni enoti|"},"dc:description":[{"@xml:lang":"sl","#text":"Introduction: The purpose of this national research was to compare birth, maternal and newborn outcomes in the midwife led unit and the obstetric unit to ascertain whether a midwife led unit reduced medicalisation of childbirth. Methods: A prospective observational case-control study was carried out in Ljubljana Maternity Hospital in the period May - August 2013. The sample comprised 497 labouring women; 154 who attended the midwife led and 343 who attended in the obstetric unit, both matching the same inclusion criteria: low risk primiparous; singleton term pregnancies, normal foetal heart beat, cephalic presentation; spontaneous onset of labour. The primary outcome was the caesarean section rate. Chi-square test was used to compare medical interventions and birth outcomes. Results: Women in the midwife led unit had statistically significant higher spontaneous vaginal births (p < 0.001), less augmentation with oxytocin (p < 0.001), less use of analgesia (p < 0.001), less operative vaginal deliveries (p < 0.001) and less caesarean sections (p < 0.001), lower rates of episiotomy (p < 0.001) and more exclusively breastfed (p = 0.002). Discussion and conclusion: These significant findings showed that in the midwife led unit fewer medical interventions were used. For generalisation of the findings more similar studies in Slovenia are needed"},{"@xml:lang":"sl","#text":"Uvod: Namen nacionalne raziskave je bila primerjava porodnih izidov ter izidov pri materah in novorojenčkih v samostojni babiški enoti in porodni enoti ter tako preveriti, ali so porodi v samostojni babiški enoti manj medikalizirani. Metode: Prospektivna opazovalna raziskava primerov s kontrolami je bila izvedena med majem in avgustom 2013. V raziskavi je sodelovalo 497 žensk, 154 žensk je rodilo v samostojni babiški enoti in 343 žensk v porodni enoti. Obe skupini žensk sta izpolnjevali enak vstopni kriterij: prvorodnice brez prisotnih dejavnikov tveganja, ob porodnem terminu, z enim plodom v glavični vstavi, normalno plodovo frekvenco srca in spontanim začetkom poroda. Primarni izid je bil delež carskih rezov. Za primerjavo medicinskih intervencij in porodnih izidov v obeh skupinah je bil uporabljen test hi-kvadrat. Rezultati: Ženske, ki so rodile v samostojni babiški enoti, so imele statistično pomembno več spontanih vaginalnih porodov (p < 0.001), manj pospeševanj z oksitocinom (p < 0.001), manjšo uporabo analgetikov (p < 0.001), manj operativnih vaginalnih porodov (p < 0.001) in carskih rezov (p < 0.001), manj epiziotomij (p < 0.001) in več polnega dojenja (p = 0.002). Diskusija in zaključek: V samostojni babiški enoti je bilo uporabljenih manj medicinskih intervencij. Za generalizacijo zaključkov te študije bi bile potrebne nadaljnje raziskave v Sloveniji"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-IXENYTJQ","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-IXENYTJQ"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-IXENYTJQ/948ae79d-ae85-434e-b326-bf526f8ced17/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-IXENYTJQ/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-IXENYTJQ"}}}}