Midwifery care cuts poor birth outcomes versus physician care

October 24, 2018

(HealthDay)—Compared with physician models of care, midwifery care is associated with lower odds of poor birth outcomes for low-income women, according to a study published in the October issue of BMJ Open.

In a study of 57,872 pregnant women of low socioeconomic position who delivered between 2005 and 2012, Daphne N. McRae, Ph.D., from University of British Columbia in Vancouver, Canada, and colleagues evaluated if antenatal (4,705 ) was associated with lower odds of small-for-gestational-age (SGA) birth, preterm birth (PTB), or low-birth weight (LBW) compared with (45,114 patients) or obstetrician (OB) care (8,053 patients).

The researchers found that odds of SGA birth were lower for patients receiving antenatal midwifery care versus general practitioner (GP) care (adjusted odds ratio [aOR], 0.71) or OB care (aOR, 0.59). For midwifery care, odds of PTB were also lower compared with GP (aOR, 0.74) or OB patients (aOR, 0.53). Lastly, odds of LBW were lower for midwifery patients versus GP (aOR, 0.66) or OB patients (aOR, 0.43).

"Our findings show that women who are more vulnerable benefit from the care of a midwife, likely because they receive more time, counselling and education on how to for themselves," McRae said in a statement.

Explore further: Midwifery linked to lower odds of birth complications for low-income women

More information: Abstract/Full Text

Related Stories

Midwifery linked to lower odds of birth complications for low-income women

October 3, 2018
New research from the University of British Columbia and the University of Saskatchewan is adding new evidence in support of midwives as a safe option for prenatal care, especially for women who have low socioeconomic status.

Participation in group prenatal care may improve birth outcomes

October 22, 2018
A recent retrospective matched cohort study of more than 9,000 pregnant women found that women who received group prenatal care had a significantly lower risk of having a preterm birth or a low birth weight baby compared ...

Babies of adolescents in CPS care more likely to be taken into care

May 30, 2018
(HealthDay)—Teen mothers who are in the care of child protection services (CPS) when they gave birth have more than a seven times higher likelihood that their child will be taken into care before age 2 years, compared to ...

Having hospital palliative care doesn't impact Tx intensity

September 27, 2018
(HealthDay)—For adult patients in the intensive care unit (ICU), the availability of hospital-based palliative care is not associated with in-hospital treatment intensity, according to a study published in the September ...

Social determinants linked to provision of primary care

September 7, 2018
(HealthDay)—Social determinants are associated with provision of primary care services, according to a study recently published in the Annals of Family Medicine.

Medicaid expansion ups access to family planning services

August 31, 2018
(HealthDay)—One-third of women of reproductive age report better ability to access birth control and family planning services with Medicaid expansion coverage, according to a study published online Aug. 31 in JAMA Network ...

Recommended for you

Scientists identify new genetic causes linked to abnormal pregnancies and miscarriages

November 20, 2018
A team of scientists at the Research Institute of the McGill University Health Centre (RI-MUHC) and McGill University have identified three genes responsible for recurrent molar pregnancies, a rare complication that occurs ...

RNAi therapy mitigates preeclampsia symptoms

November 19, 2018
A collaboration of scientists from the University of Massachusetts Medical School, Beth Israel Deaconess Medical Center and Western Sydney University, have shown that an innovative new type of therapy using small interfering ...

New blood test detects early stage ovarian cancer

November 19, 2018
Research on a bacterial toxin first discovered in Adelaide has led to the development a new blood test for the early diagnosis of ovarian cancer—a disease which kills over 1000 Australian women and 150,000 globally each ...

Human Cell Atlas study reveals maternal immune system modifications in early pregnancy

November 14, 2018
The first Human Cell Atlas study of early pregnancy in humans has shown how the function of the maternal immune system is affected by cells from the developing placenta. Researchers from the Wellcome Sanger Institute, Newcastle ...

Soy formula feeding during infancy associated with severe menstrual pain in adulthood

November 9, 2018
New research suggests that infant girls fed soy formula are more likely to develop severe menstrual pain as young adults. The finding adds to the growing body of literature that suggests exposure to soy formula during early ...

A major role for a small organ in the immune response during pregnancy

November 9, 2018
The immune system of a pregnant woman is altered during pregnancy, but not in the way previously believed, according to results from a study at Linköping University, Sweden. This study, published in the Journal of Allergy ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.