US midwives have low caesarean rateBMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7017.1387a (Published 25 November 1995) Cite this as: BMJ 1995;311:1387
- DEBORAH JOSEFSON, medical journalist
- New York
Pregnancies attended to by certified nursemidwives are at least 50% less likely to end in caesarean sections, according to a study published by the Public Citizen Health Research Group in the US. The group, a leading private consumer advocacy organisation, based its report on a survey of 419 hospital based certified nurse-midwife practices and on 41 birthing centres.
While almost a quarter of American babies are born by caesarean section, the rate was less than 12% for those births attended by certified nurse-midwives. Moreover, repeat births by caesarean section were also less likely for those mothers who chose nursemidwives to deliver their subsequent babies. Across the US three …