TY - JOUR
T1 - 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
AU - McLachlan, Helen L
AU - Forster, Della A
AU - Davey, Mary-Ann
AU - Farrell, Tanya
AU - Gold, Lisa
AU - Biro, Mary Anne
AU - Albers, Leah
AU - Flood, Maggie
AU - Oats, Jeremy
AU - Waldenstrom, Ulla
PY - 2012
Y1 - 2012
N2 - Objective: To determine whether primary midwife care (caseload
midwifery) decreases the caesarean section rate compared with
standard maternity care.
Design: Randomised controlled trial.
Setting: Tertiary-care women s hospital in Melbourne, Australia.
Population: A total of 2314 low-risk pregnant women.
Methods: Women randomised to caseload received antenatal,
intrapartum and postpartum care from a primary midwife with
some care by back-up midwives. Women randomised to
standard care received either midwifery or obstetric-trainee care
with varying levels of continuity, or community-based general
practitioner care.
Main outcome measures: Primary outcome: caesarean birth.
Secondary outcomes included instrumental vaginal births,
analgesia, perineal trauma, induction of labour, infant admission
to special/neonatal intensive care, gestational age, Apgar scores
and birthweight
AB - Objective: To determine whether primary midwife care (caseload
midwifery) decreases the caesarean section rate compared with
standard maternity care.
Design: Randomised controlled trial.
Setting: Tertiary-care women s hospital in Melbourne, Australia.
Population: A total of 2314 low-risk pregnant women.
Methods: Women randomised to caseload received antenatal,
intrapartum and postpartum care from a primary midwife with
some care by back-up midwives. Women randomised to
standard care received either midwifery or obstetric-trainee care
with varying levels of continuity, or community-based general
practitioner care.
Main outcome measures: Primary outcome: caesarean birth.
Secondary outcomes included instrumental vaginal births,
analgesia, perineal trauma, induction of labour, infant admission
to special/neonatal intensive care, gestational age, Apgar scores
and birthweight
UR - http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2012.03446.x/pdf
U2 - 10.1111/j.1471-0528.2012.03446.x
DO - 10.1111/j.1471-0528.2012.03446.x
M3 - Article
SN - 1470-0328
VL - 119
SP - 1483
EP - 1492
JO - BJOG: An International Journal of Obstetrics and Gynaecology
JF - BJOG: An International Journal of Obstetrics and Gynaecology
IS - 2
ER -