BACKGROUND To compare experienced continuity of care among women who received midwife-led versus obstetrician-led care. Secondly, to compare experienced continuity of care with a. experienced quality of care during labor and b. perception of labor. METHODS We conducted a questionnaire survey in a region in the Netherlands in 2014 among 790 women after they gave birth. To measure experienced c...

OBJECTIVE to describe women's experiences of having a doula present during childbirth. DESIGN AND SETTING a qualitative study with a phenomenological approach in two large Swedish cities. Data were collected via open-ended taped interviews 1-2 months after childbirth. The analysis of the text of transcripts included search for meaning units sorted into clusters for a final expression of the e...

OBJECTIVE To perform trend analysis of primary midwife-led delivery care for 'low risk' pregnant women at our hospital. METHODS A retrospective cohort study was performed to examine trends and outcomes of labor under primary midwife-led delivery care at the Japanese Red Cross Katsushika Maternity Hospital between 2008 and 2012. RESULTS During the study period, the rate of deliveries initial...

Effective communication and emotional support of parturient women improve the outcome of childbirth. Reduction in Duration of labor, cesarean rate, use of anesthesia, and 5 minute Apgar Score less than 7 can achieve. This study was a part of a large mixed method study during 2013-2014. In this qualitative study, in-depth interviews were conducted with 32 participants (16 mother and 16 midwife),...

previously and the cord was being tightly held by a Chaniar midwife with her dirty hand. As the patient was a purdalinasliin lady, I could not proceed further, but sent for a Corporation midwife, who completed the third stage manually. I then gave 1 c.c. of pituitrin as the uterus was still bulky and the patient much prostrated. The midwife informed me that there was no tearing of the external ...

BACKGROUND In 2007, the Government of Pakistan introduced a new cadre of community midwives (CMWs) to address low skilled birth attendance rates in rural areas; this workforce is located in the private-sector. There are concerns about the effectiveness of the programme for increasing skilled birth attendance as previous experience from private-sector programmes has been sub-optimal. Indonesia f...

BACKGROUND The migration of health professionals trained in Africa to developed nations has compromised health systems in the African region. The financial losses from the investment in training due to the migration from the developing nations are hardly known. METHODS The cost of training a health professional was estimated by including fees for primary, secondary and tertiary education. Acc...

BACKGROUND Over the last two decades, childbirth worldwide has been increasingly concentrated in large centralized hospitals, with a parallel trend toward more birth interventions. At the same time in several countries, interest in midwife-led care and free-standing birth centers has steadily increased. The objective of this review is to establish the current evidence base for free-standing, mi...