Susan Stapleton - Academia.edu (original) (raw)

Uploads

Papers by Susan Stapleton

Journal of nurse-midwifery

Collaborative practice offers great promise for maximizing the unique contributions and enhancing... more Collaborative practice offers great promise for maximizing the unique contributions and enhancing the satisfaction of everyone involved in health care, including the consumer. Developing collaborative relationships, however, requires much time and effort. Significant attitudinal, institutional, and behavioral barriers exist. Collaboration occurs between individuals, and each one must understand the concept of collaboration and be committed to investing the time and energy required to develop the relationship and overcome the barriers. The author describes critical attributes of collaboration and discusses how they can be developed and demonstrated.

Journal of Midwifery & Women's Health, 2011

The value of a data registry for research, benchmarking, and quality improvement activities depen... more The value of a data registry for research, benchmarking, and quality improvement activities depends on the underlying quality of the data. This pilot study was conducted to design and implement a validation process assessing data quality in the American Association of Birth Centers' online data registry, the Uniform Data Set (UDS).

Obstetrics and Gynecology, Dec 1, 2004

OBJECTIVE: Some women wish to avoid a repeat cesarean delivery and believe that a midwife-support... more OBJECTIVE: Some women wish to avoid a repeat cesarean delivery and believe that a midwife-supported vaginal birth after cesarean (VBAC) in a nonhospital setting represents their best chance to do so; there is a small, persistent demand for out-of-hospital VBACs. We conducted a study to obtain the data necessary to formulate an evidencebased policy on this practice.

Birth Iss Perinat Care, 2005

Obstetrics and gynecology, 2004

Some women wish to avoid a repeat cesarean delivery and believe that a midwife-supported vaginal ... more Some women wish to avoid a repeat cesarean delivery and believe that a midwife-supported vaginal birth after cesarean (VBAC) in a nonhospital setting represents their best chance to do so; there is a small, persistent demand for out-of-hospital VBACs. We conducted a study to obtain the data necessary to formulate an evidence-based policy on this practice. We prospectively collected data on pregnancy outcomes of 1,913 women intending to attempt VBACs in 41 participating birth centers between 1990 and 2000. A total of 1,453 of the 1,913 women presented to the birth center in labor. Twenty-four percent of them were transferred to hospitals during labor; 87% of these had vaginal births. There were 6 uterine ruptures (0.4%), 1 hysterectomy (0.1%), 15 infants with 5-minute Apgar scores less than 7 (1.0%), and 7 fetal/neonatal deaths (0.5%). Most fetal deaths (5/7) occurred in women who did not have uterine ruptures. Half of uterine ruptures and 57% of perinatal deaths involved the 10% of ...

Obstetrical & Gynecological Survey, 1990

... CrossRef | Web of Science | Medline. 41. Singhi S, Chookang E, Hall JS, Kalghatgi S. Iatrogen... more ... CrossRef | Web of Science | Medline. 41. Singhi S, Chookang E, Hall JS, Kalghatgi S. Iatrogenic neonatal and maternal hyponatraemia following oxytocin and aqueous glucose infusion during labour . Br J Obstet Gynaecol 1985; 92:356–63. Medline. 42. ...

New England Journal of Medicine, 1989

Journal of Midwifery & Women's Health, 2013

The safety and effectiveness of birth center care have been demonstrated in previous studies, inc... more The safety and effectiveness of birth center care have been demonstrated in previous studies, including the National Birth Center Study and the San Diego Birth Center Study. This study examines outcomes of birth center care in the present maternity care environment. This was a prospective cohort study of women receiving care in 79 midwifery-led birth centers in 33 US states from 2007 to 2010. Data were entered into the American Association of Birth Centers Uniform Data Set after obtaining informed consent. Analysis was by intention to treat, with descriptive statistics calculated for maternal and neonatal outcomes for all women presenting to birth centers in labor including those requiring transfer to hospital care. Of 15,574 women who planned and were eligible for birth center birth at the onset of labor, 84% gave birth at the birth center. Four percent were transferred to a hospital prior to birth center admission, and 12% were transferred in labor after admission. Regardless of where they gave birth, 93% of women had a spontaneous vaginal birth, 1% an assisted vaginal birth, and 6% a cesarean birth. Of women giving birth in the birth center, 2.4% required transfer postpartum, whereas 2.6% of newborns were transferred after birth. Most transfers were nonemergent, with 1.9% of mothers or newborns requiring emergent transfer during labor or after birth. There were no maternal deaths. The intrapartum fetal mortality rate for women admitted to the birth center in labor was 0.47/1000. The neonatal mortality rate was 0.40/1000 excluding anomalies. This study demonstrates the safety of the midwifery-led birth center model of collaborative care as well as continued low obstetric intervention rates, similar to previous studies of birth center care. These findings are particularly remarkable in an era characterized by increases in obstetric intervention and cesarean birth nationwide.

Journal of Midwifery & Women's Health, 2005

of the national study of vaginal birth after cesarean in birth centers. Obstet Gynecol 2004;104:9... more of the national study of vaginal birth after cesarean in birth centers. Obstet Gynecol 2004;104:933-42.

American Journal of Obstetrics and Gynecology, 2014