The Ministry of Health and Care Service’s plan for improved
maternity and delivery care was implemented in Northern Norway in March 2012.
Selection criteria were standardized and economic resources allocated.
We explored the effects in a retrospective quality of care
study employing data from the Medical Birth Registry of Norway (MBRN). The
prior study (2009-11) was compared with the 2012-14 period. The levels of care were Midwife
administered maternity units (MAMU), Departments of Obstetrics and Gynaecology (DOG) and
Regional Clinics of Obstetrics and Gynaecology (RCOG).
National data on post-caesarean surgical wound infection
(2009-2014) was added. Quality of care was defined as rate of multiple pregnancies,
eclampsia, vacuum or forceps assisted delivery, births during transportation,
caesarean section rate, post-caesarean wound infection, perineal rupture,
smoking habits, body mass index (BMI), Apgar score <7, birth weight <2.5
kg and stillbirth.
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