Research News

Maternity care varies widely across England, report shows

BMJ 2016; 352 doi: https://doi.org/10.1136/bmj.i1699 (Published 23 March 2016) Cite this as: BMJ 2016;352:i1699
  1. Jacqui Wise
  1. London

Maternity units in England show considerable variation in practice, with emergency caesarean rates ranging from 8% to 15%, a report from the Royal College of Obstetricians and Gynaecologists shows.

The report, Patterns of Maternity Care in English NHS Trusts 2013/14,1 found that 55% of first time mothers had some form of intervention during labour and delivery. Rates of unassisted vaginal delivery among primiparous women ranged from 33% to 62% within individual NHS trusts, after adjusting for clinical and demographic factors. The rates of instrumental delivery ranged from 19% to 29%, and episiotomy rates ranged from 29% to 44%.

The mean …

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