2026-04-13T04:56:15Zhttps://recercat.cat/oai/requestoai:recercat.cat:20.500.14342/40482025-05-15T19:21:07Zcom_2072_482405com_2072_183628col_2072_482409
RECERCAT
author
Palau-Costafreda, Roser
author
Garcia Gumiel, Sara
author
Eles Velasco, Amaranta
author
Jansana-Riera, Anna
author
Orus-Covisa, Lluna
author
Hermida González, Julia
author
Algarra Ramos, Miriam
author
Canet Vélez, Olga
author
Obregón Gutiérrez, Noemí
author
Escuriet, Ramon
2025-05-15T19:21:06Z
2025-05-15T19:21:06Z
2023-08
http://hdl.handle.net/20.500.14342/4048
https://doi.org/10.1111/birt.12749
Background: Midwife-led units have been shown to be safer and reduce interventions for women at low risk of complications at birth. In 2017, the first alongside birth center was opened in Spain. The aim of this study was to
compare outcomes for women with uncomplicated pregnancies giving birth in the Midwife-led unit (MLU) and in the Obstetric unit (OU) of the same hospital.
Methods: Retrospective cohort study comparing birth outcomes between low-risk women, depending on their planned place of birth. Data were analyzed with an intention-to-treat approach for women that gave birth between January 2018
and December 2020.
Results: A total of 878 women were included in the study, 255 women chose to give birth in the MLU and 623 in the OU. Findings showed that women in the MLU were more likely to have a vaginal birth (91.4%) than in the OU (83.8%)
(aOR 2.98 [95%CI 1.62–5.47]), less likely to have an instrumental delivery, 3.9% versus 11.2% (0.25 [0.11–0.55]),
to use epidural analgesia, 19.6% versus 77.9% (0.15 [0.04–0.17]) and to have an episiotomy, 7.4% versus 15.4% (0.27 [0.14–0.53]). There were no differences in rates of postpartum hemorrhage, retained placenta, or adverse neonatal outcomes. Intrapartum and postpartum transfer rates from the MLU to the OU were 21.1% and 2.4%, respectively.
Conclusions: The high rate of obstetric interventions in Spain could be reduced by implementing midwife-led
units across the whole system, without an increase in maternal or neonatal complications.
eng
© L'autor/a Attribution-NonCommercial 4.0 International
Naixement
Llevadores
Obstetrícia
Unitats dirigides per llevadores
The First alongside midwifery unit in Spain: a retrospective cohort study of maternal and neonatal outcomes
info:eu-repo/semantics/article