ArticlePloS one2017
Mode of birth and medical interventions among women at low risk of complications: A cross-national comparison of birth settings in England and the Netherlands.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Induction of labour at 41 weeks or expectant management until 42 weeks: A systematic review and an individual participant data meta-analysis of randomised trials.PLoS medicine · 2020Pooled it
- Induction of labour at 41 weeks versus expectant management until 42 weeks (INDEX): multicentre, randomised non-inferiority trial.BMJ (Clinical research ed.) · 2019Trial
- Viability of Successful Vaginal Delivery in Triplet Pregnancies: A Retrospective Cohort Study Over 20 Years.Birth (Berkeley, Calif.) · 2026Article
- The Impact of Implementing an Evidence-Based Intrapartum Care Quality Improvement Program on Childbirth Outcomes for Laboring Women: An Interrupted Time-Series Analysis.Journal of nursing management · 2026Article
- Article
- Mode of birth and maternal depression/severe anxiety: Findings from Millennium Cohort Study.PloS one · 2025Article
- The natural pattern of birth timing and gestational age in the U.S. compared to England, and the Netherlands.PloS one · 2023Article
- Caesarean sections and health financing: a global analysis.BMJ open · 2021Article
- Experiences of Dutch maternity care professionals during the first wave of COVID-19 in a community based maternity care system.PloS one · 2021Article
- Risk of complicated birth at term in nulliparous and multiparous women using routinely collected maternity data in England: cohort study.BMJ (Clinical research ed.) · 2020Article
- Women's characteristics and care outcomes of caseload midwifery care in the Netherlands: a retrospective cohort study.BMC pregnancy and childbirth · 2020Article
- Understanding childbirth as a complex salutogenic phenomenon: The EU COST BIRTH Action Special Collection.PloS one · 2020Article
- Oxytocin and emergency caesarean section in a mediumsized hospital in Pakistan: A cross-sectional study.European journal of midwifery · 2020Article
- Relation between Length of Exposure to Epidural Analgesia during Labour and Birth Mode.International journal of environmental research and public health · 2019Article
- Article
- Analgesia during Labor and Vaginal Birth among Women with Severe Maternal Morbidity: Secondary Analysis from the WHO Multicountry Survey on Maternal and Newborn Health.BioMed research international · 2019Article
- The effect of medical and operative birth interventions on child health outcomes in the first 28 days and up to 5 years of age: A linked data population-based cohort study.Birth (Berkeley, Calif.) · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo compare mode of birth and medical interventions between broadly equivalent birth settings in England and the Netherlands.
methodsData were combined from the Birthplace study in England (from April 2008 to April 2010) and the National Perinatal Register in the Netherlands (2009). Low risk women in England planning birth at home (16,470) or in freestanding midwifery units (11,133) were compared with Dutch women with planned home births (40,468). Low risk English women with births planned in alongside midwifery units (16,418) or obstetric units (19,096) were compared with Dutch women with planned midwife-led hospital births (37,887).
resultsCS rates varied across planned births settings from 6.5% to 15.5% among nulliparous and 0.6% to 5.1% among multiparous women. CS rates were higher among low risk nulliparous and multiparous English women planning obstetric unit births compared to Dutch women planning midwife-led hospital births (adjusted (adj) OR 1.89 (95% CI 1.64 to 2.18) and 3.66 (2.90 to 4.63) respectively). Instrumental vaginal birth rates varied from 10.7% to 22.5% for nulliparous and from 0.9% to 5.7% for multiparous women. Rates were lower in the English comparison groups apart from planned births in obstetric units. Transfer, augmentation and episiotomy rates were much lower in England compared to the Netherlands for all midwife-led groups. In most comparisons, epidural rates were higher among English groups.
conclusionsWhen considering maternal outcomes, findings confirm advantages of giving birth in midwife-led settings for low risk women. Further research is needed into strategies to decrease rates of medical intervention in obstetric units in England and to reduce rates of avoidable transfer, episiotomy and augmentation of labour in the Netherlands.
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