US midwives have low caesarean rate

BMJ 1995; 311 doi: (Published 25 November 1995) Cite this as: BMJ 1995;311:1387
  1. DEBORAH JOSEFSON, medical journalist
  1. 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 …

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