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To evaluate the capacity of the current system of obstetric risk stratification at the outset of pregnancy to predict severe adverse perinatal outcome.
This is an important finding as the Dutch system of obstetric care, that includes a considerable number of home deliveries, has been subject to much debate.
The Swedish system of obstetric care, in which the midwives take all responsibility for the uncomplicated delivery, obviously makes great demands on the midwife in charge.
The unique Dutch system of obstetric care system has three risk-based levels of care: primary care (indicated for low risk pregnancies and deliveries, provided by independently practicing midwives), and secondary/tertiary care (indicated for high risk pregnancies, provided by obstetricians) [ 18].
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The results indicate that the current system of midwifery and obstetric care makes it challenging for community midwives and secondary obstetric caregivers to achieve coordination.
A functioning referral and communication system allows timely transfer of obstetric emergencies.
(Doctor)" The Mexican Ministry of Health has adopted the strategy of incorporating non-physician providers into the health system for the provision of obstetric care, but has limited data to inform the implementation process for this policy at the operative level.
In the past two years, our group has launched a number of efforts looking at the referral systems for obstetric and neonatal patients throughout India.
The use of this specific tool for mortality prediction may contribute to the analysis of obstetric health systems and identification of weaknesses.
Studies on women affected by fistula in resource poor countries found that socio-cultural and health systems factors contribute to occurrences of obstetric fistula.
Owing to the successive Peristat reports, 1 3 the perinatal mortality rate has become a widely used indicator to compare the performance of obstetric care systems in the participating European countries.
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