Midwife-led maternity care in Ireland – a retrospective cohort study

Authors: Dencker, A, Smith, V, McCann, C, & Begley, C.

Source: BMC Pregnancy and Childbirth. 2017 Mar 28;17(1):101

Background:Midwife-led maternity care is shown to be safe for women with low-risk during pregnancy. In Ireland, two midwife-led units (MLUs) were introduced in 2004 when a randomised controlled trial (the MidU study) was performed to compare MLU care with consultant-led care (CLU).

The aim of this study was to evaluate maternal and neonatal outcomes and transfer rates during six years in the larger of the MLU sites.

Conclusions: Midwife-led care is a safe option that could be offered to a large proportion of healthy pregnant women. With strict transfer criteria there are very few complications during labour and birth. Maternity units without the option of MLU care should consider its introduction.


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