Effects of continuity of care by a primary
midwife (caseload midwifery) on caesarean
section rates in women of low obstetric risk:
the COSMOS randomised controlled trial
HL McLachlan,a,b DA Forster,a,c MA Davey,a,d T Farrell,c L Gold,e MA Biro,f L Albers,g M Flood,a,b
J Oats,d U Waldenstro¨mh
BJOG 25 July 2012
Conclusion In settings with a relatively high baseline caesarean
section rate, caseload midwifery for women at low obstetric
risk in early pregnancy shows promise for reducing caesarean
births.