Abstract

Objectives:Summer time is a challenging period in obstetric care as many health care workers are on holiday. We aimed to explore the Scandinavian birth patterns and the Norwegian kindergarten reform’s possible influence on time of delivery in Norway.Methods:A retrospective analysis using data (2000-12) from the medical birth registries of Denmark, Norway and Sweden was carried out. Annual data for each country were compared. The first five years (2000-2004) period was compared with the periods 2005-2009 and 2010-2012 to clarify any changing trend in month and seasons of delivery. Furthermore, the time period following the Norwegian kindergarten reform (2010-12) was compared with the time period 2000-2009. In total, there were 760,168 Norwegians, 827,354 Danes and 1,354,177 Swedes born during study period.Results:Whereas the number of deliveries increased in Sweden (24%) and Norway (3%), there was a 12% reduction in Denmark during study period. Comparing seasons, most births (35.3%) occurred during summer time (May-August). In Norway, there was a significant change during study period with fewer children born between January and April (P < 0.04) and more during summer time (P < 0.01). The lower percentage of births during the last quarter of the year was stable in all countries.Conclusion:Most Scandinavians were born during summer time. During study period a significant shift of births from spring to summer time was observed in Norwegians. So far, the Norwegian kindergarten reform has not influenced on the birth rate between September and December.

Highlights

  • Quality of care has been constantly focused in maternity care and Norwegian women have been selected to institution/unit of delivery according to risk factors (Nesheim et al, 2010; Holt et al, 2001)

  • Whereas the number of deliveries increased in Sweden (24%) and Norway (3%), there was a 12% reduction in Denmark during study period

  • During study period a significant shift of births from spring to summer time was observed in Norwegians

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Summary

Introduction

Quality of care has been constantly focused in maternity care and Norwegian women have been selected to institution/unit of delivery according to risk factors (Nesheim et al, 2010; Holt et al, 2001). A new national Norwegian reform (Ministry of Health and Care Services, 2009) introduced new guidelines concerning manning of delivery units. The four regional health authority (RHA) trusts had to increase the number of obstetricians and midwives to meet the new recommendations for manning. Summer time is a challenging period in obstetric care as many health care workers are on holiday. In a situation with raising health care costs and steadily improving rights of health care workers, strategies to improve cost-effectiveness and annual operating plans are crucial. Pattern of birth is among the necessary data for good planning

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