{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T06:45:00Z","timestamp":1772261100127,"version":"3.50.1"},"reference-count":49,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2014,4,30]]},"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the rates of obstetric intervention and associated perinatal mortality and morbidity in the first 28\u2005days among low-risk women giving birth in private and public hospitals in NSW (2000\u20132008).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Linked data population-based retrospective cohort study involving five data sets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>New South Wales, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>691\u2005738 women giving birth to a singleton baby during the period 2000\u20132008.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Rates of neonatal resuscitation, perinatal mortality, neonatal admission following birth and readmission to hospital in the first 28\u2005days of life in public and private obstetric units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Rates of obstetric intervention among low-risk women were higher in private hospitals, with primiparous women 20% less likely to have a normal vaginal birth compared to the public sector. Neonates born in private hospitals were more likely to be less than 40\u2005weeks; more likely to have some form of resuscitation; less likely to have an Apgar &lt;7 at 5\u2005min. Neonates born in private hospitals to low-risk mothers were more likely to have a morbidity attached to the birth admission and to be readmitted to hospital in the first 28\u2005days for birth trauma (5% vs 3.6%); hypoxia (1.7% vs 1.2%); jaundice (4.8% vs 3%); feeding difficulties (4% vs 2.4%) ; sleep\/behavioural issues (0.2% vs 0.1%); respiratory conditions (1.2% vs 0.8%) and circumcision (5.6 vs 0.3%) but they were less likely to be admitted for prophylactic antibiotics (0.2% vs 0.6%) and for socioeconomic circumstances (0.1% vs 0.7%). Rates of perinatal mortality were not statistically different between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For low-risk women, care in a private hospital, which includes higher rates of intervention, appears to be associated with higher rates of morbidity seen in the neonate and no evidence of a reduction in perinatal mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2013-004551","type":"journal-article","created":{"date-parts":[[2014,5,22]],"date-time":"2014-05-22T00:07:39Z","timestamp":1400717259000},"page":"e004551","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":53,"title":["Rates of obstetric intervention and associated perinatal mortality and morbidity among low-risk women giving birth in private and public hospitals in NSW (2000\u20132008): a linked data population-based cohort study"],"prefix":"10.1136","volume":"4","author":[{"given":"Hannah G","family":"Dahlen","sequence":"first","affiliation":[{"name":"Family and Community Health Research Group, School of Nursing and Midwifery, University of Western Sydney, Penrith, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Tracy","sequence":"additional","affiliation":[{"name":"Royal Hospital for Women, University of Sydney, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Tracy","sequence":"additional","affiliation":[{"name":"Centre for Newborn Care, Westmead Hospital, Westmead, New South Wales, Australia"},{"name":"School of Medicine, University of Sydney, Camperdown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bisits","sequence":"additional","affiliation":[{"name":"Royal Hospital for Women, Randwick, New South Wales, Australia"},{"name":"School of Women and Children's Health, University of NSW, Randwick, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Brown","sequence":"additional","affiliation":[{"name":"NHMRC Clinical Trials Centre, University of Sydney, Camperdown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlene","family":"Thornton","sequence":"additional","affiliation":[{"name":"Family and Community Health Research Group, School of Nursing and Midwifery, University of Western Sydney, Penrith, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,5,21]]},"reference":[{"key":"2025121513082339000_4.5.e004551.1","unstructured":"Li Z Zeki R Hilder L . 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