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Subject:
From:
"Dia L. Michels" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 27 May 1998 16:13:24 EDT
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Here's an interesting article that ran in The Washington Post yesterday (May
26, 1998).

Midwives Beat Doctors in Government Study

Babies delivered by certified nurse midwives were significantly less likely to
die than those delivered by physicians, according to a study to appear in this
month's Journal of Epidemiology and Community Health.  This is the first study
to compare infant mortality risks for all births attended by a certified nurse
midwife against physicians.  After accounting for a wide variety of social and
medical risk factors, the study of 3.9 million single, vaginal births of 35-43
weeks gestation in 1991 found that those attended by CNM showed a 19% lower
infant mortality rate than similar births attended by physicians.  Neonatal
mortality - the deaths that occur during the first 28 days of life - were 33
percent lower among babies delivered by CNM and the risk of delivering a low
birthweight baby was 31% lower among the nurse midwives.  The difference may
be explained in part by prenatal, labor and delivery care.  The study's
authors noted that CNM spend more time with their patients during prenatal
visits and remain at the side of women in labor, while physician's care is
more episodic.

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