Midwife-led care in the United Kingdom and Ireland may be a cost-effective, safe alternative to medical-led care

Added June 2, 2020

Citation: Ryan P, Revill P, Devane D, Normand C. An assessment of the cost-effectiveness of midwife-led care in the United Kingdom. Midwifery 2013; 29(4): 368-376.

Free to view: No

What is this? The COVID-19 pandemic is placing a strain on health systems and healthcare workers. Existing research on different models of healthcare delivery, such as midwife-led obstetric care, might provide useful information for policy makers.

In this systematic review, the authors searched for comparative effectiveness studies of the cost-effectiveness of midwife-led care, compared with medical-led care for pregnant women, which had been done in the UK or similar settings. They restricted their searches to articles published in English. The search period was not stated, but the review was submitted for publication in June 2011. The authors included 4 randomised trials (3 from the UK and 1 from Ireland), and synthesized the economic analyses from the three largest studies (total: 6403 participants). They concluded that there was a paucity of evidence on this topic.

What was found: Midwife-led care may be a cost-effective model for delivery of obstetric care, and appears to be as safe as medical-led care.

The cost-effectiveness of midwife-led obstetric care in settings outside the UK and Ireland is uncertain.

 

Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.

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