• The maternity center is a new component of obstetric care in Ukraine
To content

The maternity center is a new component of obstetric care in Ukraine

HEALTH OF WOMAN. 2018.7(133):17–21; doi 10.15574/HW.2018.133.17

Makarenko M. V. , Govseev D. A. , Sokol I. V. , Berestovoy V. O. , Vorona R. N.
Bogomolets National Medical University, Kiev

In this article, data on the analysis of literature on the perinatal and maternal aspects of the domestic labor and delivery in maternity wards are conducted.

For most women in developed countries, the choice of place of birth is maternity cultural norm. However, to give birth in a maternity room is a relatively recent phenomenon. In many countries, the change in birthplace has changed during the twentieth century. For example, in the UK, 80% of women were born in the 1920s, and in 2011, only 2.3%. The United States had a similar shift from 50% of births at home in 1938, to 1% in 1955.

In developed countries such as Great Britain, Germany, the Netherlands, France, Italy, Israel, Canada, New Zealand, Australia, and in our geographical neighbors Latvia, Hungary and Poland have long been working on a three-step system of providing maternity care. This system includes:

1) Maternity Hospital – for women of high and moderate risk;

2) maternity centers in or near the hospitals, in which only the midwives receive births, and, if necessary, the woman and the child are quickly delivered to the hospital, where they will be in urgent assistance within a few minutes;

3) home births – for women from a low-risk group, accompanied by experienced certified midwives.

The creation of a new obstetric link in Ukraine, the maternity center, is a promising direction for the development of all obstetrics. On the basis of Kyiv City Maternity Hospital № 5 a separate maternity center was created, which is an autonomous maternity ward office. The department has separate medical staff and maternity rooms as close as possible to home conditions. Emergency care for a mother and child takes several minutes.

Key words: home birth, maternity center, perinatal aspects, maternal aspects.


1. Birthplace in England Collaborative Group Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study. (2011). BMJ. 343: d7400. 

2. Blix E, Huitfeldt AS, Øian P, Straum B, Kumle M. (2012). Outcomes of planned home births and planned hospital births in low-risk women in Norway between 1990 and 2007: a retrospective cohort study. Sex Reprod Healthcare. 3: 147–153. https://doi.org/10.1016/j.srhc.2012.10.001; PMid:23182447

3. Catling-Paul C, Coddington RL, Foureur MJ, Homer CS. (2013). Publicly funded homebirth in Australia: a review of maternal and neonatal outcomes over 6 years. MJA. 198(1): 616–620. https://doi.org/10.5694/mja13.11003

4. Cheng YW, Snowden JM, King TL et al. (2013). Selected perinatal outcomes associated with planned home births in the United States. Am J Obstet Gynecol. 209(4): 325e1–325e8.

5. Cheyney M, Everson C, Burcher P. (2014, Apr). Homebirth transfers in the United States: narratives of risk, fear, and mutual accommodation. Qual Health Res. 24(4): 443-56. https://doi.org/10.1177/1049732314524028; PMid:24598774

6. Cox KJ, Schlegel R, Payne P, Teaf D, Albers L. (2013). Outcomes of planned home births attended by certified nurse-midwives in Southeastern Pennsylvania, 1983–2008. J Midwifery Womens Health. 58: 145–149. https://doi.org/10.1111/j.1542-2011.2012.00217.x; PMid:23437812

7. Davis D, Baddock S, Pairman S et al. (2011). Planned place of birth in New Zealand: does it affect mode of birth and intervention rates among low risk women? Birth. 38(2): 111–119. https://doi.org/10.1111/j.1523-536X.2010.00458.x; PMid:21599733

8. De Jong A, van der Goes BY, Ravelli ACJ et al. (2009). Perinatal mortality and morbidity in a nationwide cohort of 529,688 low risk planned home and hospital births. BJOG. 116:1177–1184. https://doi.org/10.1111/j.1471-0528.2009.02175.x; PMid:19624439

9. Grünebaum A, McCullough LB, Brent RL, Arabin B, Leven MI, Chervenak FA. (2014, Oct 15). Perinatal risks of planned home births in the United States. Am J Obstet Gynecol. Epub.

10. Grünebaum A, McCullough LB, Sapra KJ et al. (2013). Apgar score of zero at five minutes and neonatal seizures or serious neurologic dysfunction in relation to birth setting. Am J Obstet Gynecol. 209:323:e1–e6.

11. Grünebaum A, McCullough LB, Sapra KJ et al. (2014). Early and total neonatal mortality in relation to birth setting in the United States 2006–2009. Am J Obstet Gynecol. 211:390.e1–e7. https://doi.org/10.1016/j.ajog.2014.03.047; PMid:24662716

12. Homer CS, Thornton C, Scarf VL et al. (2014). Birthplace in New South Wales, Australia: an analysis of perinatal outcomes using routinely collected data. BMC Pregnancy Childbirth. 14:206. https://doi.org/10.1186/1471-2393-14-206; PMid:24929250 PMCid:PMC4067683

13. Hutton E, Reitsma A, Kaufman K. (2009). Outcomes associated with planned home and planned hospital births in low-risk women attended by midwives in Ontario, Canada, 2003–2006: a retrospective cohort study. Birth. 36(3):180–189. https://doi.org/10.1111/j.1523-536X.2009.00322.x; PMid:19747264

14. Janssen PA, Saxel L, Page LA, Klein MC, Liston RM, Lee SK. (2009). Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician. CMAJ. 181(6–7):377–383. https://doi.org/10.1503/cmaj.081869; PMid:19720688 PMCid:PMC2742137

15. Jonge A, Geerts CC, van der Goes BY, Mol BW, Buitendijk SE, Nijhuis JG. (2014, Sep 10). Perinatal mortality and morbidity up to 28 days after birth among 743,070 low-risk planned home and hospital births: a cohort study based on three merged national perinatal databases. BJOG. Epub 2014

16. Kataoka Y, Eto H, Iida M. (2013). Outcomes of independent midwifery attended births in birth centres and home births: a retrospective cohort study in Japan. Midwifery. 29:965–972. https://doi.org/10.1016/j.midw.2012.12.020; PMid:23415360

17. Kennare RM, Keirse MR, Tucier GR, Chan AC. (2010). Planned home and hospital births in South Australia 1991–2006: differences in outcomes. MJA. 192:76–80. PMid:20078406

18. Li Z, Zeki R, Hilder L, Sullivan EA. Australia’s Mothers and Babies. (2011). Accessed 2015, February 13.

19. Lindgren H, Radestad I, Christensson K, Hildingsson I. (2008). Outcome of planned home births in Sweden 1992–2005. Acta Obstet Gynaecol Scand. 87:751–759. https://doi.org/10.1080/00016340802199903; PMid:18607818

20. MacDorman MF, Mathews TJ, Declercq E. (2014). Trends in Out-of-Hospital Births in the United States, 1990–2012.NCHS Data Brief. (144).

21. National Institute for Health and Welfare Births and Newborns. (2009). Accessed 2015, February 13.

22. National Statistics Office Statistics Canada–Births 2008 Archived Content. Accessed 2015, February 13.

23. New Zealand Ministry of Health – Maternity Tables (2011). Accessed 2015, February 13.

24. Office for National StatisticsBirths in England and Wales by Characteristics of Birth 2.201

25. Van der Kooy J, Peoran J, De Graff JP et al. (2011). Planned home compared with planned hospital births in the Netherlands: intrapartum and early neonatal death in low-risk pregnancies. Obstet Gynecol. 118:1037–1046. https://doi.org/10.1097/AOG.0b013e3182319737; PMid:22015871

26. Wax JR, Lee Lucas F, Lamont M, Pinette MG, Cartin A, Blackstone J. (2010). Maternal and newborn outcomes in planned home birth vs planned hospital births: a metaanalysis. Am J Obstet Gynecol. 203:243e1–243e8.