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April 02, 2008

Dutch System of Midwifery Care Works

A new study1 looks at the process of midwifery-led delivery in the Dutch system.   Midwives make either no referral, referral (to an obstetrician) with urgency, or referrals without urgency once a woman is in labor.  The study, which examined 280,000 cases found that the midwifery-led referral system resulted in a small number of urgent referrals (3.6%) and satisfactory neonatal outcomes.  There were fewer referrals among women planning a home (rather then hospital) birth.

1MP Amelink-Verburg, SP Verloove-Vanhorick, RMA Hakkenberg, IME Veldhuijzen, J Bennebroek Gravenhorst, SE Buitendijk (2008) Evaluation of 280 000 cases in Dutch midwifery practices: a descriptive study, BJOG: An International Journal of Obstetrics and Gynaecology 115 (5) , 570–578     doi:10.1111/j.1471-0528.2007.01580.

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