Researchers examined data on 845,545 deliveries at 556 hospitals and found most mothers - 85per cent - had uncomplicated pregnancies and could safely give birth at community hospitals with a physician or midwife. Another 13per cent ideally would have given birth at hospitals with obstetricians available around the clock because they were at moderate to high risk of developing conditions during or after delivery.A small fraction of women - 2.
"To be fair, sometimes that happens because patients present emergently and there is not time to transport them," Caughey, who wasn't involved in the study, said by email.Overall, the results do suggest that regionalized maternity care, which is the norm across the country, works well for the vast majority of patients, said Dr. Sarah Rae Easter of Brigham and Women's Hospital in Boston, lead author of the study.
Most women can deliver at a"level 1" birth center, which may have midwives or family physicians available and surgeons on call for cesarean sections, according to the American College of Obstetricians and Gynecologists. In the study, nearly all women who needed level 1 or level 2 care got it, but many women who needed level 3 or level 4 care did not.
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