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Biomedical subjects

P S Eakins

Publications and source records attributed to P S Eakins.

6 recordsLinked to original sources
PubMed1989

Obstetric outcomes at the birth place in Menlo Park: the first seven years.

During its first seven years of operation, the Birth Place, a free-standing birth center in California, registered 898 women, of whom 690 (77%) were admitted in labor and 150 (17%) were referred for hospital birth prior to onset of labor. Using carefully delineated screening criteria, the center had an overall 18% intrapartum transport rate to the hospital, primarily for prolonged or arrested labor, a 3% cesarean section rate, no maternal mortality, and one neonatal death resulting from Cornelia de Lange syndrome, a congenital mental retardation-malformation syndrome of unknown etiology, which in this case was incompatible with life. Deliveries at the Birth Place were associated with low cost, a high level of maternal satisfaction, a low cesarean section rate, low neonatal mortality, and no maternal mortality.

Ambulatory Care Facilities↗
PubMed1989

Free-standing birth centers in California. Program and medical outcome.

During 1985, 25 free-standing birth centers (FSBCs) were operating in California. All had a written or verbal backup agreement with a hospital that averaged six minutes away from the center. Seventy-four percent of the deliveries in these centers were attended by obstetricians, 6% by certified nurse-midwives, less than 1% by family physicians and 19% by a team of physicians and midwives. Between 1979 and 1985, over 10,000 women were admitted in labor in California FSBCs. Medical outcome data were collected for 1984 and 1985. The medical outcome for births in these centers demonstrates that FSBCs, while existing under the aegis of an "alternative" philosophy, are associated with a low cesarean section rate, low neonatal mortality and no neonatal mortality.

California↗
PubMed1984

The rise of the free standing birth center: principles and practice.

The last decade witnessed a movement toward out-of-hospital birth. Licensed free standing birth centers (FSBCs) proliferated and, by 1984, over 100 were operating in the U.S. This paper details the history of The Birth Place in Menlo Park, CA. Over a three year period, 251 women in labor were admitted to the clinic. Of these women, 200 (80%) completed delivery at the center. Of these, four mothers and three babies transferred to the hospital postpartum for treatment. Fifty-one women (20%) transferred to the hospital intrapartum primarily as a result of prolonged or arrested labor. There were 11 forceps deliveries (4%) and six cesarean sections (2%). Of 51 babies born at the hospital, nine had complications requiring treatment. Overall, clients expressed a strong sense of satisfaction regarding their birth experience. The FSBC, with its alternative philosophy, serves as an important experiment testing out-of-hospital birth outcomes in a carefully screened low risk population.

Adolescent↗