Midwife-led versus other models of care for childbearing women

Abstract

All women should be offered midwife-led models of care and women should be encouraged to ask for this option.

Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomised controlled trial

“…Our primary finding is in contrast to the Cochrane review on midwife‐led care that compared other models of maternity care 13 and did not find any effect on the caesarean rate, although the addition of our findings is likely to change the conclusion of the review from no effect of continuity of midwife‐led care on caesarean rates to a statistically significant reduction. Our secondary outcomes are consistent with the review; that the caseload model was associated with more spontaneous vaginal births, less intrapartum analgesia and fewer episiotomies 13 …”

Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomised controlled trial

“…Our primary finding is in contrast to the Cochrane review on midwife‐led care that compared other models of maternity care 13 and did not find any effect on the caesarean rate, although the addition of our findings is likely to change the conclusion of the review from no effect of continuity of midwife‐led care on caesarean rates to a statistically significant reduction. Our secondary outcomes are consistent with the review; that the caseload model was associated with more spontaneous vaginal births, less intrapartum analgesia and fewer episiotomies 13 …”

Practice of Primary Elective Cesarean Upon Maternal Request in the Commonwealth of Virginia

“…This likely represents selection bias whereby women who wanted on‐demand cesarean delivery sought hospitals that met their request. This finding, however, is consistent with other studies showing that the presence of midwives decreases the performance of cesarean deliveries without compromising perinatal mortality (Hatem, Sandall, Devane, Soltani, & Gates, ).…”

The effect of midwifery care on rates of cesarean delivery

“…Although several of these countries have a significant number of deliveries conducted by midwives, no country other than New Zealand has a fully independent midwifery-led service. The present results are consistent with the Cochrane review that found no change in cesarean rates with midwife-led models of maternity care compared with other models [12].…”

Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomised controlled trial

“…Our primary finding is in contrast to the Cochrane review on midwife‐led care that compared other models of maternity care 13 and did not find any effect on the caesarean rate, although the addition of our findings is likely to change the conclusion of the review from no effect of continuity of midwife‐led care on caesarean rates to a statistically significant reduction. Our secondary outcomes are consistent with the review; that the caseload model was associated with more spontaneous vaginal births, less intrapartum analgesia and fewer episiotomies 13 …”

Practice of Primary Elective Cesarean Upon Maternal Request in the Commonwealth of Virginia

“…This likely represents selection bias whereby women who wanted on‐demand cesarean delivery sought hospitals that met their request. This finding, however, is consistent with other studies showing that the presence of midwives decreases the performance of cesarean deliveries without compromising perinatal mortality (Hatem, Sandall, Devane, Soltani, & Gates, ).…”

The effect of midwifery care on rates of cesarean delivery

“…Although several of these countries have a significant number of deliveries conducted by midwives, no country other than New Zealand has a fully independent midwifery-led service. The present results are consistent with the Cochrane review that found no change in cesarean rates with midwife-led models of maternity care compared with other models [12].…”

Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomised controlled trial

“…Our primary finding is in contrast to the Cochrane review on midwife‐led care that compared other models of maternity care 13 and did not find any effect on the caesarean rate, although the addition of our findings is likely to change the conclusion of the review from no effect of continuity of midwife‐led care on caesarean rates to a statistically significant reduction. Our secondary outcomes are consistent with the review; that the caseload model was associated with more spontaneous vaginal births, less intrapartum analgesia and fewer episiotomies 13 …”

Practice of Primary Elective Cesarean Upon Maternal Request in the Commonwealth of Virginia

“…This likely represents selection bias whereby women who wanted on‐demand cesarean delivery sought hospitals that met their request. This finding, however, is consistent with other studies showing that the presence of midwives decreases the performance of cesarean deliveries without compromising perinatal mortality (Hatem, Sandall, Devane, Soltani, & Gates, ).…”

The effect of midwifery care on rates of cesarean delivery

“…Although several of these countries have a significant number of deliveries conducted by midwives, no country other than New Zealand has a fully independent midwifery-led service. The present results are consistent with the Cochrane review that found no change in cesarean rates with midwife-led models of maternity care compared with other models [12].…”