Related Experiment Video
Updated: Jan 16, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
[Birth Outcomes in Caseload Midwifery Care: A Retrospective Cohort Study]
Lea-Ori Schlatter1, Lissa Egger1, Susanne Grylka-Baeschlin1
1Institut für Hebammenwissenschaft und reproduktive Gesundheit, Departement Gesundheit, Zürcher Hochschule für Angewandte Wissenschaften, Winterthur, Schweiz.
None:
While international studies highlight the positive impact on birth outcomes associated with caseload midwives, no comprehensive assessment of the Swiss situation has been performed.This study aimed to assess birth outcomes in Swiss hospitals and in low-risk pregnancies in relation to birth care provided by hospital-based staff midwives compared to attending caseload midwives.For this retrospective cohort study, we used data of n=55,518 low-risk births collected between 2018 and 2021 through voluntary data collection in Swiss hospitals. We performed a descriptive analysis as well as non-parametric correlative and logistic regression analysis using SPSS.Women with caseload midwives were more often multiparous than women with hospital-based staff midwives. The adjusted regression analysis showed that care by attending caseload midwives increased the ratio of spontaneous delivery compared to hospital-based staff midwives (83.1% vs. 70.2%, aOR 1.97, p<0.001). The C-section rate was lower in women in the caseload care system (9.2% vs. 16.6%, aOR 0.55, p<0.001) as well as the rate of vacuum extractions (7.6% vs. 13.0%, aOR 0.63, p<0.001). Care by a caseload midwife was associated with fewer interventions during labour and birth in general. Caseload midwives commonly improve birth outcomes compared to hospital-based staff midwives with respect to mitigating presumably unnecessary interventions.
Related Concept Videos
Regression Toward the Mean
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Data Collection by Observations
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
Actuarial Approach
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Bias in Epidemiological Studies

