ArticleEuropean journal of midwifery2020
Midwifery-led care can lower caesarean section rates according to the Robson ten group classification system.
Article in European journal of midwifery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 20 citations in OpenAlex.
- Midwifery Research Priorities in Saudi Arabia: A Priority-Setting Partnership Approach.International journal of women's health · 2026Article
- Exploring the influence of medical staffing and birth volume on observed-to-expected cesarean deliveries: a panel data analysis of integrated obstetric and gynecological departments in Germany.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Socioeconomic disadvantage and racial/ethnic disparities in low-risk cesarean birth in California.American journal of epidemiology · 2025Article
- Trends in cesarean section rates in Brazil by Robson classification group, 2014-2020.Revista brasileira de enfermagem · 2024Article
- Article
- 'Labour Hopscotch': Women's evaluation of using the steps during labor.European journal of midwifery · 2022Article
- Respectful midwifery care during the COVID-19 pandemic.European journal of midwifery · 2020Article
- Evaluation of mode of delivery in pregnant women infected with COVID-19.European journal of midwifery · 2020Article
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Authors and funding
1 author at 1 institution in 1 country.
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Abstract
introductionMidwifery-led care is recognised as the best choice of maternity care for low-risk women. Robson's Ten Group Classification System (TGCS) is an internationally recognised audit tool, however there is no midwifery-led service presenting their statistics in this way. The objective of this study was to analyse caesarean section rates for the women attending midwifery-led care at the National Maternity Hospital Dublin, Ireland, using the Robson TGCS.
methodsThis is a retrospective study of electronic records for a total of 1097 women who were booked to attend the community midwife team in the National Maternity Hospital, during 2016 and 2017.
resultsThe rate of caesarean section in low-risk nulliparous women (Robson Group 1) was under 6%, without affecting the perinatal outcome. The induction rate in nulliparous women (Group 2) was 36%, less than the national average the cesarean rates were quadruple in this group.
conclusionsLow-risk women who attend midwifery-led services, have a low caesarean section rate in this study. This was achieved with continuity of care, good antenatal preparation, and support throughout labour and birth by a dedicated team of midwives. Outcomes can only be truly compared if we use the same criteria to measure them. The TGCS demonstrates the effectiveness of midwifery-led care.
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