ArticleBMJ open2018
Reduced prevalence of small-for-gestational-age and preterm birth for women of low socioeconomic position: a population-based cohort study comparing antenatal midwifery and physician models of care.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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Who cites it
22 citing papers in PubMed, 35 citations in OpenAlex.
- Midwifery Students' Definitions of Normal Labor and Birth: A Study From Five Countries.Birth (Berkeley, Calif.) · 2026Article
- Suboptimal screening and correction of maternal iron deficiency anaemia in the general population and in inherited bleeding disorders: A population-based cohort study.British journal of haematology · 2026Article
- How Woman-Centred Care Is Experienced and Understood in Maternity Services by Women and Professionals: A Rapid Review.Scandinavian journal of caring sciences · 2025Review
- Perinatal outcomes following nonadherence to guideline-based screening for gestational diabetes: A population-based cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Understanding how midwife-led continuity of care can be implemented and under what circumstances: a realist review.BMJ open · 2025Review
- Low birthweight rate differences associated with distinct perinatal staffing mixes at federally funded health centers.Health affairs scholar · 2024Article
- A scoping review of costing methodologies used to assess interventions for underserved pregnant people and new parents.International journal for equity in health · 2024Article
- Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention.International journal of public health · 2024Article
- Article
- The effect of changing screening practices and demographics on the incidence of gestational diabetes in British Columbia, 2005-2019.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Perinatal outcomes of midwife-led care, stratified by medical risk: a retrospective cohort study from British Columbia (2008-2018).CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Insights into Prevention of Health Complications in Small for Gestational Age (SGA) Births in Relation to Maternal Characteristics: A Narrative Review.Journal of clinical medicine · 2023Review
- Advancing quality and safety of perinatal services in India: opportunities for effective midwifery integration.Health policy and planning · 2022Article
- From a Place of Love: The Experiences of Birthing in a Black-Owned Culturally-Centered Community Birth Center.Journal of health disparities research and practice · 2022Article
- Patient and provider perspectives on preterm birth risk assessment and communication.Patient education and counseling · 2021Article
- "Ashamed, Silent and Stuck in a System"-Applying a Structural Violence Lens to Midwives' Stories on Social Disadvantage in Pregnancy.International journal of environmental research and public health · 2020Article
- Women's vulnerability within the childbearing continuum: A scoping review.European journal of midwifery · 2020Article
- Access to midwifery care for people of low socio-economic status: a qualitative descriptive study.BMC pregnancy and childbirth · 2019Article
- Barriers to equitable maternal health in Aotearoa New Zealand: an integrative review.International journal for equity in health · 2019Review
- Improving birth outcomes for women who are substance using or have mental illness: a Canadian cohort study comparing antenatal midwifery and physician models of care for women of low socioeconomic position.BMC pregnancy and childbirth · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOur aim was to investigate if antenatal midwifery care was associated with lower odds of small-for-gestational-age (SGA) birth, preterm birth (PTB) or low birth weight (LBW) compared with general practitioner (GP) or obstetrician (OB) models of care for women of low socioeconomic position.
settingThis population-level, retrospective cohort study used province-wide maternity, medical billing and demographic data from British Columbia, Canada.
participantsOur study included 57 872 pregnant women, with low socioeconomic position, who: were residents of British Columbia, Canada, carried a singleton fetus, had low to moderate medical/obstetric risk, delivered between 2005 and 2012 and received medical insurance premium assistance. PRIMARY AND SECONDARY OUTCOME MEASURES: We report rates, adjusted ORs (aOR), and 95% CIs for the primary outcome, SGA birth (<the 10th percentile), and secondary outcomes, PTB (<37 weeks' completed gestation) and LBW (<2500 g).
resultsOur sample included 4705 midwifery patients, 45 114 GP patients and 8053 OB patients. Odds of SGA birth were reduced for patients receiving antenatal midwifery versus GP (aOR 0.71, 95% CI 0.62 to 0.82) or OB care (aOR 0.59, 95% CI 0.50 to 0.69). Odds of PTB were lower for antenatal midwifery versus GP (aOR 0.74, 95% CI 0.63 to 0.86) or OB patients (aOR 0.53, 95% CI 0.45 to 0.62). Odds of LBW were reduced for midwifery versus GP (aOR 0.66, 95% CI 0.53 to 0.82) or OB patients (aOR 0.43, 95% CI 0.34 to 0.54).
conclusionAntenatal midwifery care in British Columbia, Canada, was associated with lower odds of SGA birth, PTB and LBW, for women of low socioeconomic position, compared with physician models of care. Results support the development of policy to ensure antenatal midwifery care is available and accessible for women of low socioeconomic position. Future research is needed to determine the underlying mechanisms linking midwifery care to better birth outcomes for women of low socioeconomic position.
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