Midwife led care vs other models of care for pregnant women – outcomes

A Cochrane Collaboration review of Randomised Controlled Trials involving over 12,000 women have compared the outcomes of Mothers and babies receiving midwifery led care vs other models of care.  Midwife-led care was associated with several benefits for mothers and babies, and had no identified adverse effects.

The main benefits were a reduction in the use of regional analgesia, with fewer episiotomies or instrumental births.

Midwife-led care also increased the woman’s chance of being cared for in labour by a midwife she had got to know, and the chance of feeling in control during labour, having a spontaneous vaginal birth and initiating breastfeeding. However, there was no difference in caesarean birth rates.

http://summaries.cochrane.org/CD004667/midwife-led-versus-other-models-of-care-for-childbearing-women

According to Victorian Perinatal statistics (2008) and The Maternity Performance Indicators Report (2008) for healthy women having their first babies with low risk pregnancies (this excludes women with post term pregnancies, high risk pregnancies and medical conditions);

Private Midwifery Care was associated with 5.3% Caesarean Section Rate (Planned Home Birth)

Public Hospital Care was associated with 15.6% Caesarean Section Rate

Private Hospital Care was associated with 24.9% Caesarean Section Rate

 

Midwives are experts in Normal Birth and are the most appropriate carers for healthy women wanting a natural birth

 

 

 

 

 

 

 

 

 

 

 

http://summaries.cochrane.org/CD004667/midwife-led-versus-other-models-of-care-for-childbearing-women

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