COSMOS: COmparing Standard Maternity care with One-to-one midwifery Support: a randomised controlled trial
2008

Comparing Standard Maternity Care with One-to-One Midwifery Support

Sample size: 2008 publication Evidence: moderate

Author Information

Author(s): Helen L McLachlan, Della A Forster, Mary-Ann Davey, Judith Lumley, Tanya Farrell, Jeremy Oats, Lisa Gold, Ulla Waldenström, Leah Albers, Mary Anne Biro

Primary Institution: La Trobe University

Hypothesis

Does one-to-one midwifery care decrease the proportion of women delivering by caesarean section compared to standard care?

Conclusion

The study aims to evaluate whether one-to-one midwifery care reduces caesarean section rates among low-risk women.

Supporting Evidence

  • Previous studies suggest continuity of midwifery care may lead to reduced caesarean sections.
  • Caseload midwifery has been recommended for better maternal satisfaction.
  • Existing RCTs have shown no significant differences in perinatal morbidity or mortality.

Takeaway

This study is trying to find out if having one midwife for each pregnant woman helps reduce the number of women needing surgery to give birth.

Methodology

A two-arm randomized controlled trial comparing caseload midwifery care with standard maternity care.

Potential Biases

Potential bias in participant selection and reporting of outcomes.

Limitations

The study may not be generalizable to women at high medical risk or those seeking private care.

Participant Demographics

Women at low medical risk attending antenatal clinics in Melbourne, Australia.

Digital Object Identifier (DOI)

10.1186/1471-2393-8-35

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