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Letters

Birth centre trials are unreliable

Kathleen M Fahy and Sally Tracy
Med J Aust 2006; 185 (7): 407.

To the Editor: The 2005 Cochrane review Home-like versus conventional institutional settings for birth1 has been cited in the public media to claim that birth centres are less safe than labour wards as there was an increased risk of a baby dying during or immediately after childbirth.2

Kathleen M Fahy, Professor of Midwifery1
Sally Tracy, Associate Professor (Conjoint)2
1 Faculty of Health, Newcastle University, Newcastle, NSW.
2 School of Women's and Children's Health, University of New South Wales, Sydney, NSW.
Article References: 
Reference Text: 
Hodnett ED, Downe S, Edwards N, Walsh D. Home-like versus conventional institutional settings for birth. Cochrane Database Syst Rev 2005; (1): CD000012. DOI: 10.1002/14651858.CD000012.pub2.
Reference Order: 
1
PubMed ID: 
Reference Text: 
Australian Medical Association. Discussion of midwife-led birthing units – AMA’s Dr Andrew Pesce on the Today Show [media transcript]. Released 31 August 2005. http://www.ama.com.au/web.nsf/doc/WEEN-6FS3EU (accessed Jul 2006).
Reference Order: 
2
PubMed ID: 
Reference Text: 
Higgins P, Green S, editors. Cochrane handbook for systematic reviews of interventions. Version 4.2.5. Cambridge, UK: The Cochrane Collaboration, 2005. http://www.cochrane.org/resources/handbook/ (accessed Jul 2006).
Reference Order: 
3
PubMed ID: 
Reference Text: 
Borelli B, Sepinwall D, Ernst D, et al. A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behaviour research. J Consult Clin Psychol 2005; 73: 852-860.
Reference Order: 
4
PubMed ID: 
16287385

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