Observational studyBirth (Berkeley, Calif.)2019
Influence of midwifery presence in United States centers on labor care and outcomes of low-risk parous women: A Consortium on Safe Labor study.
Observational study in Birth (Berkeley, Calif.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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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.
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Who cites it
20 citing papers in PubMed.
- Hospital Variation in Labor After Cesarean and Vaginal Birth After Cesarean in Massachusetts, 2012-2022.O&G open · 2026Article
- Certified Nurse-Midwife Practice Authority as a Structural Determinant of Maternal Health.The Milbank quarterly · 2026Article
- Retrospective Cohort Study on Racial and Ethnic Disparities in Cesarean Birth in a Midwifery-Integrated Health System.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2026Article
- Midwifery Care in the United States: Increasing Access and Utilization to Improve Perinatal Health Outcomes.Obstetrical & gynecological survey · 2025Review
- Importance Assigned to Breastfeeding by Spanish Pregnant Women and Associated Factors: A Survey-Based Multivariate Linear Correlation Study.Nutrients · 2024Article
- An alternative model of maternity care for low-risk birth: Maternal and neonatal outcomes utilizing the midwifery-based birth center model.Health services research · 2024Observational
- "I was able to take it back": Seeking VBAC after experiencing dehumanizing maternity care in a primary cesarean.SSM. Qualitative research in health · 2023Article
- Advancing quality and safety of perinatal services in India: opportunities for effective midwifery integration.Health policy and planning · 2022Article
- Induction of labor or expectant management? Birth outcomes for nulliparous individuals choosing midwifery care.Birth (Berkeley, Calif.) · 2021Article
- Patient and provider perspectives on preterm birth risk assessment and communication.Patient education and counseling · 2021Article
- A Tribute to Nancy C. Chescheir, MD.Obstetrics and gynecology · 2021Article
- Geospatial variation in caesarean delivery.Nursing open · 2020Observational
- Outcomes of trial of labor after cesarean birth by provider type in low-risk women.Birth (Berkeley, Calif.) · 2020Article
- Preventing Cesarean Birth in Women with Obesity: Influence of Unit-Level Midwifery Presence on Use of Cesarean among Women in the Consortium on Safe Labor Data Set.Journal of midwifery & women's health · 2020Article
- Intrapartum Care and Experiences of Women with Midwives Versus Obstetricians in the Listening to Mothers in California Survey.Journal of midwifery & women's health · 2020Article
- Using the Robson 10-Group Classification System to Compare Cesarean Birth Utilization Between US Centers With and Without Midwives.Journal of midwifery & women's health · 2020Article
- Safe Childbirth: A Call to Action.The Journal of perinatal education · 2019Article
- Healthy Birth Practice #4: Avoid Interventions Unless They Are Medically Necessary.The Journal of perinatal education · 2019Article
- Challenges in the Triage Care of Low-Risk Laboring Patients: A Comparison of 2 Models of Practice.The Journal of perinatal & neonatal nursingArticle
- Outcomes for Labor Induction Compared With Expectant Management Among Women Receiving Hospital-Based, Midwifery-Led Care.Journal of midwifery & women's healthArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundSixty percent of United States births are to multiparous women. Hospital-level policies and culture may influence intrapartum care and birth outcomes for this large population, yet have been poorly explored using a large, diverse sample. We sought to use national United States data to analyze the association between midwifery presence in maternity care teams and the birth processes and outcomes of low-risk parous women.
methodsWe conducted a retrospective cohort study using Consortium on Safe Labor data from low-risk parous women in either interprofessional care (n = 12 125) or noninterprofessional care centers (n = 8996). Unadjusted, adjusted (age, race, health insurance type), propensity-adjusted, and propensity-matched logistic regression models were used to assess processes and outcomes.
resultsThere was concordance in outcome differences across regression models. With propensity score matching, women at interprofessional centers, compared with women at noninterprofessional centers, were 85% less likely to have labor induced (risk ratio [RR] 0.15; 95% CI 0.14-0.17). The risk for primary cesarean birth among low-risk parous women was 36% lower at interprofessional centers (RR 0.64; 95% CI 00.52-0.79), whereas the likelihood of vaginal birth after cesarean for this population was 31% higher (RR 1.31; 95% CI 1.10-1.56). There were no significant differences in neonatal outcomes.
conclusionsParous women have significantly higher rates of vaginal birth, including vaginal birth after cesarean, and lower likelihood of labor induction when cared for in centers with midwives. Our findings are consistent with smaller analyses of midwifery practice and support integrated, team-based models of perinatal care to improve maternal outcomes.
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