Trial reportBJOG : an international journal of obstetrics and gynaecology2011
Is the operative delivery rate in low-risk women dependent on the level of birth care? A randomised controlled trial.
Trial report in BJOG : an international journal of obstetrics and gynaecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Midwife continuity of care models versus other models of care for childbearing women.The Cochrane database of systematic reviews · 2024Pooled it
- Non-clinical interventions for reducing unnecessary caesarean section.The Cochrane database of systematic reviews · 2018Pooled it
- Midwife-led continuity models versus other models of care for childbearing women.The Cochrane database of systematic reviews · 2016Pooled it
- Alternative versus conventional institutional settings for birth.The Cochrane database of systematic reviews · 2012Pooled it
- Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women.BMC pregnancy and childbirth · 2016Trial
- Maternal and Neonatal Outcomes and Health System Costs in Standard Public Maternity Care Compared to Private Obstetric-Led Care: A Population-Level Matched Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Observational
- Severe adverse maternal and neonatal outcomes according to the planned birth setting being midwife-led birth centers or obstetric-led units.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Midwife-Led Versus Obstetrician-Led Perinatal Care for Low-Risk Pregnancy: A Systematic Review and Meta-Analysis of 1.4 Million Pregnancies.Journal of clinical medicine · 2024Review
- Model of care and chance of spontaneous vaginal birth: a prospective, multicenter matched-pair analysis from North Rhine-Westphalia.BMC pregnancy and childbirth · 2021Article
- Centralisation of acute obstetric care in the Netherlands: a qualitative study to explore the experiences of stakeholders with adaptations in organisation of care.BMC health services research · 2021Article
- Midwives' experiences of using the Obstetric Norwegian Early Warning System (ONEWS): A national cross-sectional study.European journal of midwifery · 2021Article
- The "Cocoon," first alongside midwifery-led unit within a Belgian hospital: Comparison of the maternal and neonatal outcomes with the standard obstetric unit over 2 years.Birth (Berkeley, Calif.) · 2020Article
- Maternal and perinatal outcomes by planned place of birth in Australia 2000 - 2012: a linked population data study.BMJ open · 2019Article
- Effect of planned place of birth on obstetric interventions and maternal outcomes among low-risk women: a cohort study in the Netherlands.BMC pregnancy and childbirth · 2016Article
- Onsite midwife-led birth units (OMBUs) for care around the time of childbirth: a systematic review.BMJ global health · 2016Article
- Different settings of place of midwife-led birth: evaluation of a midwife-led birth centre.SpringerPlus · 2016Article
- Comparison of neonatal outcomes and intrapartum events in full term vaginal deliveries conducted by staff versus resident physicians.Obstetrics & gynecology science · 2013Article
- Physician-led, hospital-linked, birth care centers can decrease cesarean section rates without increasing rates of adverse events.Birth (Berkeley, Calif.) · 2013Article
Corrections and comments
- Commented on by
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within the same hospital.
designRandomised controlled trial.
settingDepartment of Obstetrics and Gynaecology, Østfold Hospital Trust, Tromsø, Norway. POPULATION: A total of 1111 women assessed to be at low risk at onset of spontaneous labour.
methodsRandomisation into one of three birth units: the special unit; the normal unit; or the midwife-led unit.
main outcome measuresTotal operative delivery rate, augmentation, pain relief, postpartum haemorrhage, sphincter injuries and intrapartum transfer, Apgar score <7 at 5 minutes, metabolic acidosis and transfer to neonatal intensive care unit.
resultsThere were no significant differences in total operative deliveries between the three units: 16.3% in the midwife-led unit; 18.0% in the normal unit; and 18.8% in the special unit. There were no significant differences in postpartum haemorrhage, sphincter injuries or in neonatal outcomes. There were statistically significant differences in augmentation (midwife-led unit versus normal unit RR 0.73, 95% CI 0.59-0.89; midwife-led unit versus special unit RR 0.69, 95% CI 0.56-0.86), in epidural analgesia (midwife-led unit versus normal unit RR 0.68, 95% CI 0.52-0.90; midwife-led unit versus special unit RR 0.64, 95% CI 0.47-0.86) and in acupuncture (midwife-led unit versus normal unit RR 1.45, 95% CI 1.25-1.69; midwife-led unit versus special unit RR 1.45, 95% CI 1.22-1.73).
conclusionsThe level of birth care does not significantly affect the rate of operative deliveries in low-risk women without any expressed preference for level of birth care.
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