{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T01:15:39Z","timestamp":1789780539778,"version":"4.0.1"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,6,17]],"date-time":"2014-06-17T00:00:00Z","timestamp":1402963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Around 2 percent of women who give birth in Australia each year do so in a birth center. New South Wales, Australia's largest state, accounts for almost half of these births. Previous studies have highlighted the need for better quality data on maternal morbidity and mortality, to fully evaluate the safety of birth center care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to examine maternal morbidity related to birth center care for women in New South Wales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study with matched\u2010pairs was conducted using linked health data for New South Wales. Maternal outcomes were compared for women who intended to give birth in a birth center, matched with women who intended to give birth in the co\u2010located hospital labor ward.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Rates of maternal outcomes, including postpartum hemorrhage, retained placenta, and postpartum infection, were significantly lower in the birth center group, after controlling for demographic and institutional factors. Interventions such as cesarean section and episiotomy were also significantly lower in these women, and the rate of breastfeeding at discharge was higher. There existed no difference in length of stay, admission to <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>, or maternal mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Birth centers are a safe option for low\u2010risk women; however, further research is required for some rare maternal outcomes. <\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12114","type":"journal-article","created":{"date-parts":[[2014,6,17]],"date-time":"2014-06-17T09:06:58Z","timestamp":1402996018000},"page":"268-275","source":"Crossref","is-referenced-by-count":14,"title":["Maternal Morbidity of Women Receiving Birth Center Care in New South Wales: A Matched\u2010Pair Analysis Using Linked Health Data"],"prefix":"10.1111","volume":"41","author":[{"given":"Paula J.","family":"Laws","sequence":"first","affiliation":[{"name":"Perinatal and Reproductive Epidemiology Research Unit School of Women's and Children's Health University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fenglian","family":"Xu","sequence":"additional","affiliation":[{"name":"Perinatal and Reproductive Epidemiology Research Unit School of Women's and Children's Health University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alec","family":"Welsh","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health Royal Hospital for Women and University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally K.","family":"Tracy","sequence":"additional","affiliation":[{"name":"Midwifery and Women's Health Nursing Research Unit Royal Hospital for Women and University of Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Perinatal and Reproductive Epidemiology Research Unit School of Women's and Children's Health University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2009.01002.x"},{"key":"e_1_2_6_3_1","unstructured":"LawsP SullivanEA2009.Australia's mothers and babies 2007. Perinatal statistics series no. 23. Cat. no. PER 48. Sydney Australia: AIHW National Perinatal Statistics Unit."},{"key":"e_1_2_6_4_1","first-page":"209","volume-title":"Birth Centres: A Social Model for Maternity Care","author":"Griew K","year":"2003"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2009.00375.x"},{"issue":"1","key":"e_1_2_6_6_1","first-page":"8","article-title":"Birth centre or labour ward? 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