Outcomes of latina women in centeringpregnancy group prenatal care compared with individual prenatal care

摘要

A disturbing perspective is the degree to which Griinebaum et al consider their findings- so" compelling that they recommend against any further study, such as a randomized controlled clinical trial comparing out-of-hospital versus hospital births, as ethically unacceptable. Furthermore, they invoke physicians' sense of professional responsibility to counsel women who may express an interest against any planned out-of-hospital births. Clearly, women's health care providers must work conscientiously and purposefully to address women's legitimate concerns about site for birth, choice of attendant, and risks versus benefits of hospital procedures and interventions. Responsible discussions with women must reflect the best evidence available, and providers have a responsibility to ensure that all births are made safer-whether occurring in the home, the birth center, or hospital-with a woman's attendant of choice.