There is a growing concern that overuse of cesarean delivery (CD) is leading to increases
in maternal morbidity and mortality. However, there is a lack of agreement regarding
the ability to impact CD rates or which approaches would most safely lower rates.
Midwives are known to have lower rates of obstetrical intervention, and midwifery
care in the United States hospital setting has been associated with a substantial
decrease in CD.
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References
- Comparison of midwifery and obstetric care in low-risk hospital births.Obstet Gynecol. 2019; 134: 1056-1065
- The association of expanded access to a collaborative midwifery and laborist model with cesarean delivery rates.Obstet Gynecol. 2015; 126: 716-723
- Midwifery presence in United States medical centers and labor care and birth outcomes among low-risk nulliparous women: a Consortium on Safe Labor study.Birth. 2019; 46: 475-486
- Two practice models in one labor and delivery unit: association with cesarean delivery rates.Am J Obstet Gynecol. 2015; 212: 491.e1-491.e8
- Relationship between labor and delivery unit management practices and maternal outcomes.Obstet Gynecol. 2017; 130: 358-365
Article info
Publication history
Published online: March 11, 2021
Footnotes
The authors report no conflict of interest.
This study was presented as a poster at the 41st Annual Meeting of the Society for Maternal-Fetal Medicine, Las Vegas, NV, January 25–30, 2021.
Identification
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© 2021 Elsevier Inc. All rights reserved.
