Intrapartum and neonatal mortality among low-risk women in midwife-led versus obstetrician-led care.


eMediNexus    27 January 2018

A new study published in BMJ Open compared intrapartum and neonatal mortality in low-risk term women, starting labor in midwife-led versus obstetrician-led care. This was a propensity score matched study using data from the national perinatal register which evaluated the medical records of 57,396 women without major risk factors, with singleton pregnancies, who gave birth at term between 2005 and 2008 in the Amsterdam region of the Netherlands. These women were segregated into midwife-led care and obstetrician-led care subsets. The findings showed that perinatal mortality occurred in 0.64% of the women in midwife-led care and in 0.19% in the obstetrician-led care group. A propensity score matched analysis disclosed an odd’s ratio (OR) for perinatal mortality of 4.0. From the results, it was concluded that among low-risk women, midwife-led care at the onset of labor was associated with a statistically non-significant higher mortality rate in the Amsterdam region of Netherlands.

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