Can birth outcome inequality be reduced using targeted caseload midwifery in a deprived diverse inner city population? A retrospective cohort study, London, UK.
Ruth HadebePaul T SeedDiana EssienKyle HeadenSaheel MahmudSalwa OwasilCristina Fernandez TurienzoCarla StankeJane SandallMara BrunoNina KhazaezadehEugene Oteng-NtimPublished in: BMJ open (2021)
This study shows that a model of caseload midwifery care implemented in an inner city deprived community improves outcome by significantly reducing preterm birth and birth by caesarean section when compared with traditional care. This data trend suggests that when applied to targeted groups (women in higher IMD quintile and women of diverse ethnicity) that the impact of intervention is greater.
Keyphrases
- preterm birth
- gestational age
- healthcare
- pregnancy outcomes
- polycystic ovary syndrome
- palliative care
- quality improvement
- cancer therapy
- randomized controlled trial
- mental health
- pain management
- electronic health record
- cervical cancer screening
- breast cancer risk
- big data
- cross sectional
- type diabetes
- deep learning