title: A Comparison of Medical Birth Register Outcomes between Maternity Health Clinics and Integrated Maternity and Child Health Clinics in Southwest Finland.
abstract: BACKGROUND
  Primary maternity care services are globally provided according to various organisational models. Two models are common in Finland: a maternity health clinic and an integrated maternity and child health clinic. The aim of this study was to clarify whether there is a relation between the organisational model of the maternity health clinics and the utilisation of maternity care services, and certain maternal and perinatal health outcomes.
  
  
  METHODS
  A comparative, register-based cross-sectional design was used. The data of women (N = 2741) who had given birth in the Turku University Hospital area between 1 January 2009 and 31 December 2009 were collected from the Finnish Medical Birth Register. Comparisons were made between the women who were clients of the maternity health clinics and integrated maternity and child health clinics.
  
  
  RESULTS
  There were no clinically significant differences between the clients of maternity health clinics and integrated maternity and child health clinics regarding the utilisation of maternity care services or the explored health outcomes.
  
  
  CONCLUSIONS
  The organisational model of the maternity health clinic does not impact the utilisation of maternity care services or maternal and perinatal health outcomes. Primary maternity care could be provided effectively when integrated with child health services.
authors.affiliation: PhD Student, Department of Clinical Medicine, Public Health, University of Turku and Institute for Child and Youth Research, University of Turku, FI-20014 Turun yliopisto, Turku, Finland.
authors.forename: Miia
authors.initials: M
authors.lastname: Tuominen
authors.affiliation: Statistician, Institute for Child and Youth Research, University of Turku, FI-20014 Turun yliopisto, Turku, Finland.
authors.forename: Anne
authors.initials: A
authors.lastname: Kaljonen
authors.affiliation: Head of Education and Research, Faculty of Health and Well-being, Turku University of Applied Sciences, Ruiskatu 8, 20760 Turku, Finland.
authors.forename: Pia
authors.initials: P
authors.lastname: Ahonen
authors.affiliation: Professor, Chief physician, Department of Obstetrics and Gynaecology, University of Turku and Department of Obstetrics and Gynaecology, Turku University Hospital, PO Box 52, 20521 Turku, Finland.
authors.forename: Juha
authors.initials: J
authors.lastname: Mäkinen
authors.affiliation: Professor, Chief physician of research, Public Health Department, University of Turku and Turku Clinical Research Centre, Turku University Hospital, PO Box 52, 20521 Turku, Finland.
authors.forename: Päivi
authors.initials: P
authors.lastname: Rautava
keywords: STEPS study; comparative study; maternal health services; maternal outcomes; perinatal outcomes; prenatal care