Outcomes of Primary Maternity Care in Fort Smith, NT

Regions: South Slave Region

Tags: health, maternity care, midwifery

Principal Investigator: Janssen, Patricia A (4)
Licence Number: 16069
Organization: School of Population and Public Health - University of British Columbia
Licensed Year(s): 2017 2014 2013 2012
Issued: Mar 31, 2017
Project Team: Caitlin Frame (Graduate Student, University of British Columbia)

Objective(s): To compare the outcomes from the perinatal database at the Fort Smith midwifery service (2005-2012) to the outcomes of women using the midwifery services in Nunavik (2005-2012) and to women who transferred from Hay River to Yellowknife to deliver their babies.

Project Description: The objective is to compare the outcomes from the perinatal database at the Fort Smith midwifery service (2005-2012) to the outcomes of women using the midwifery services in Nunavik (2005-2012) and to women who transferred from Hay River to Yellowknife to deliver their babies. These outcomes include data pertaining to utilization of the maternity service by the women in the community, perinatal outcomes, and transfer rates.

Using a retrospective cohort study design, outcomes from over 300 women who have been cared for during peripartal period at the midwifery service in Fort Smith will be compared to the database of birth outcomes in Nunavik and Yellowknife (transfers from Hay River). The research team will examine socio-demographic variables such as age, marital status, and parity for their role as confounders in the analysis and adjust using multivariate logistic regression. The team will compute odds ratios and their 95% confidence intervals from the beta estimates generated by the logistic model. The research team will present frequency tables to describe the comparison groups and adjusted odds ratios for comparison of outcomes.

This research evaluates the safety of a midwifery model of care providing community birth in Fort Smith, a rural and remote northern setting without local caesarean section capability. The findings of this research will support the development and evaluation of midwife-led models of maternity care in rural and remote communities.

The results of this study will be shared with individuals and the community through the midwifery program.

The fieldwork for this study will be conducted from April 3, 2017 to December 31, 2017.