COSMOS: COmparing Standard Maternity care with one-to-one midwifery support: a randomised controlled trial.

ABSTRACT:

Background

In Australia and internationally, there is concern about the growing proportion of women giving birth by caesarean section. There is evidence of increased risk of placenta accreta and percreta in subsequent pregnancies as well as decreased fertility; and significant resource implications. Randomised controlled trials (RCTs) of continuity of midwifery care have reported reduced caesareans and other interventions in labour, as well as increased maternal satisfaction, with no statistically significant differences in perinatal morbidity or mortality. RCTs conducted in the UK and in Australia have largely measured the effect of teams of care providers (commonly 6-12 midwives) with very few testing caseload (one-to-one) midwifery care. This study aims to determine whether case

SUBMITTER: McLachlan HL 

PROVIDER: S-EPMC2526977 | biostudies-literature | 2008 Aug

REPOSITORIES: biostudies-literature