Client Experience with the Ontario Birth Center Demonstration Project.

Introduction: In 2014, 2 new freestanding midwifery-led birth centers opened in Ontario, Canada. As one part of a larger mixed-methods evaluation of the first year of operations of the centers, our primary objective was to compare the experiences of women receiving midwifery care who intended to give birth at the new birth centers with those intending to give birth at home or in hospital.

Methods: We conducted a cross-sectional survey of women cared for by midwives with admitting privileges at one of the 2 birth centers.

A mixed-methods evaluation of the MORE program in Ontario hospitals: participant knowledge, organizational culture, and experiences.

Background: MORE (Managing Obstetrical Risk Efficiently) is a patient safety program for health care providers and administrators in hospital obstetric units. MORE has been implemented widely in Canada and gradually spread to the United States. The main goal of MORE is to build a patient safety culture and improve clinical outcomes.

Outcomes for the First Year of Ontario's Birth Center Demonstration Project.

Introduction: In 2014, Ontario opened 2 stand-alone midwifery-led birth centers. Using mixed methods, we evaluated the first year of operations for quality and safety, client experience, and integration into the maternity care community. This article reports on our study of safety and quality of care.

The Integration of Ontario Birth Centers into Existing Maternal-Newborn Services: Health Care Provider Experiences.

Introduction: In 2014, 2 freestanding, midwifery-led birth centers opened in Ontario, Canada. The purpose of this study was to qualitatively investigate the integration of the birth centers into the local, preexisting intrapartum systems from the perspective of health care providers and managerial staff.

Methods: Focus groups or interviews were conducted with health care providers (paramedics, midwives, nurses, physicians) and managerial staff who had experienced urgent and/or nonurgent maternal or newborn transports from a birth center to one of 4 hospitals in Ottawa or Toronto.