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Dear Elizabeth and all My PhD research which was a randomised controlled trial of continuity of midwifery care- enrolled both primary and secondary/tertiary care women - ie both high and low risk - as did a similar study by Kenny, Brodie, Eckerman and Hall. The rationale was that all women require and could benefit from continuity of midwifery care - no matter what their 'risk' status and indeed, women in secondary/tertiary care will all require midwifery care as well as medical care - so should not be excluded from a continuity care model. One of the main findings was that high risk women were less likely to have a repeat caesarean if they received continuity of midwifery care. The results of my research are published in The Medical Journal of Australia, September 1995, Rowley, M et al (I changed my surname) and are included in the Cochrane collaboration in the systematic review by Ellen Hodnett - the Kenny et al study is possibly available from Pat Brodie who I am sure is 'lurking ' on this list somewhere. regards Maralyn >>> [log in to unmask] 04/30/03 05:38AM >>> ----- Original Message ----- From: "Elizabeth Anderson" <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, April 29, 2003 9:19 AM Subject: Literature review for National Service Framework for Children - Maternity Services Dear all, I am emailing to ask for your help. I am trying to find evidence for the pros and cons of different models of maternity care for women with complicated pregnancies (for example women with pre-existing medical problems). I am struggling to find anything useful that isn't just about the individual's clinical care, but about the service this fits into. I am particularly interested in whether anyone has compared maternal and fetal outcomes in tertiary settings with secondary or primary care. Even a published audit or two would get me started! If anyone knows any useful papers, or useful people I would be very grateful for your help. Best wishes Liz Anderson PLEASE NOTE: NPEU 25th Anniversary Meeting, 2 October 2003. Details at http://www.npeu.ox.ac.uk/NPEUhome.htm#perinatal Dr Liz Anderson Clinical Research Fellow National Perinatal Epidemiology Unit Institute of Health Sciences, Old Road, Headington, Oxford. OX3 7LF UK. CC DHB Secure Mail Server ******************************************************************************** [INFO] -- Virus Manager: No Viruses were detected in this message. ******************************************************************************** CC DHB Secure Mail Server ******************************************************************************** This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of Capital and Coast District Health Board. (AC_S001) [INFO] -- Virus Manager: No Viruses were detected in this message. ********************************************************************************