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BMC Pregnancy Childbirth . 2021 Dec 30

Model of care and chance of spontaneous vaginal birth: a prospective, multicenter matched-pair analysis from North Rhine-Westphalia

Sophia L Tietjen, Marie-Therese Schmitz, Andrea Heep, Andreas Kocks, Lydia Gerzen, Matthias Schmid, Ulrich Gembruch, Waltraut M Merz

Background: Advantages of midwife-led models of care have been reported; these include a higher vaginal birth rate and less interventions. In Germany, 98.4% of women are giving birth in obstetrician-led units. We compared the outcome of birth planned in alongside midwifery units (AMU) with a matched group of low-risk women who gave birth in obstetrician-led units.

PMID: 34969368