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Skilled birth attendants in Mexico: how does care during normal birth by general physicians, obstetric nurses, and professional midwives compare with world health organization evidence-based practice guidelines?

By Dilys Walker MD, Lisa M. DeMaria MS, Leticia Suarez MS, Leslie Cragin CNM, PhD, The Evaluating Alternative Models of Obstetric Care in Mexico Research Team.

Journal of Midwifery & Women’s Health, September 23, 2011

We evaluated the quality of basic obstetric care provided by Mexican general physicians, obstetric nurses, and professional midwives compared with World Health Organization (WHO) guidelines for evidence-based practices and national guidelines. We came to the conclusion that professional midwives and obstetric nurses perform equally or better than general physicians when assessed by use or misuse of evidence-based practices. Professional midwives are an underutilized resource in Mexico. If integrated into the mainstream Mexican health system, midwives  may improve the quality of obstetric care.

Walker, Dilys, DeMaria, Lisa M., Saurez, Leticia, Cragin, Leslie, The Evaluating Alternative Models of Obstetric Care in Mexico Research Team. (2011, September). Skilled Birth Attendants in Mexico: How Does Care During Normal Birth by General Physicians, Obstetric Nurses, and Professional Midwives Compare With World Health Organization Evidence-Based Practice Guidelines? Journal of Midwifery & Women’s Health, 57(1), 18-27. doi: 10.1111/j.1542-2011.2011.00075.x

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